No Periods, Cramping And Spotting. Stopped Citalopram Medication. Pregnancy Tests Negative

Posted on Tue, 3 Jan 2012

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 3 Jan 2012 Answered on

Fri, 22 Jun 2012 Last reviewed on

Question : im 38 years old and my last 2 periods have come and gone but no period! I did recently stop taking my citlopram as I am unemployed and do not have insurance. I have taken 3 pregnancy tests and all come up negative. I did have slight cramping and trace blood on toilet paper when wiping a few days ago. i am worried as this has never happened before. I did just get insurance but it will be until the 15th until I can see a physician. no other real symptoms apparent

Answered by Dr. Dr. Yogesh D (1 hour later)

Hello XXXXXXX

Thank you for posting your query.

I can understand your concern.

At the outset I would like to reassure you that, if repeated pregnancy tests were negative, you are not pregnant.

In such case the cause could be hormonal or pathological. You should get a full hormonal profile done along with an ultrasound scan of the abdomen.

Amenorrhea at this age could be due to thyroid dysfunction, hyperprolcatenemia, ovarian cysts, hormonal dysfunction.

I suggest that you see your physician after the 15th, as there is no hurry and it is not an emergent condition, and get these tests done to get a better idea of the probable diagnosis.

Hope I have answered your query. Please do write back to me if you have any further concerns.

Wishing you a speedy recovery.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Yogesh D (24 hours later)

Are their any symptoms I should watch out for?

Answered by Dr. Dr. Yogesh D (6 minutes later)

Hi again XXXXXXX

Thanks for the follow-up.

You should watch out for a few symptoms,

1. Any fever.
2. Severe bleeding per vagina.
3. Sever pain in the abdomen/Severe cramping.

If you develop any of these, you should consult your doctor immediately.

Hope I have answered your query. Please accept my answer if you do not have any further queries.

Wishing you good health.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar