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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason For Delayed Periods With HPT Negative?

hi.. I want to ask dr, what are the causes of absence of menstruation bcos now I expected to have this month but delay for 2 weeks now. I had pregnancy test it is negative. and could u help me dr what will I do. I want to get pregnant again for my 10 years past pregnancy.. thank you so much and waiting for your response.
Mon, 30 Dec 2013
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OBGYN 's  Response
Hi,
Thanks for the query.
Delay in periods can occur due to many causes.
Like :
Hormonal imbalance due to poly cystic ovary disease, stress and strain, weight changes etc.
Thyroid hormonal abnormalities.
General causes like anemia, diabetes, prolactin levels abnormalities etc.
And sometimes urine pregnancy test kit may not detect early pregnancy.
So, once consult gynecologist, get examined and go for ultrasound.
Ultrasound helps in ruling out the possibility of pregnancy and finding out any possible cause for delayed periods.
If your doctor recommends you can go for thyroid profile, hormonal profile including estrogen, progesterone, LH and FSH etc.
With this workup the possible cause for delayed periods can be identified.
Then with your doctor's advice, you can go for ovulation induction.
Take care.
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OBGYN Dr. Aarti Abraham's  Response
Hello
Thanks for writing to us with your health concern.
Apart from a pregnancy, various factors can delay your cycles.
Anxiety, stress, tensions on the personal or professional front, recent weight gain, crash diets, change in diet, sleep or climate, ingestion of hormonal medications - all these can affect your periods.
Hypothyroidism, polycystic ovaries, endometrial hyperplasia - these are all reasons.
Please consult your doctor for absent periods and for infertility.
Have hormonal assays and a pelvic ultrasound scan.
Husband semen analysis and documentation of your ovulation by follicular monitoring should be done.
Fallopian tube patency should be confirmed by a laparoscopy.
Take daily folic acid tablets, and maintain ideal weight.
Have intercourse around timing of ovulation.
All the best.
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What Could Be The Reason For Delayed Periods With HPT Negative?

Hi, Thanks for the query. Delay in periods can occur due to many causes. Like : Hormonal imbalance due to poly cystic ovary disease, stress and strain, weight changes etc. Thyroid hormonal abnormalities. General causes like anemia, diabetes, prolactin levels abnormalities etc. And sometimes urine pregnancy test kit may not detect early pregnancy. So, once consult gynecologist, get examined and go for ultrasound. Ultrasound helps in ruling out the possibility of pregnancy and finding out any possible cause for delayed periods. If your doctor recommends you can go for thyroid profile, hormonal profile including estrogen, progesterone, LH and FSH etc. With this workup the possible cause for delayed periods can be identified. Then with your doctor s advice, you can go for ovulation induction. Take care.