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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A Delay In Menstruation Indicate Pregnancy?

Hi Doctor, I got my last period on 31 dec 2015. Now I have symptoms of Vamtings and constipation and I took pregnancy test at home after 4 th day of missing period it showed as negative. Kindly let me know regarding this and also let me know when I can retake the test again. Regards, Prasanna
Thu, 7 Apr 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
Yes delay in period is most common and definitive sign of pregnancy in sexually active women.
Urinary pregnancy kit give negative result in early stage because of low level of HCG in urine.

It give positive test only 7-10 days after missed period.
But blood HCG is very sensitive to detect pregnancy, as evel increased 7 days after ovulation/conception.
Abdominal USG is confirmatory test.

So I think you should go for Blood HCG and USG abdomen.

Also note the other causes of delayed period:
1. Hormonal imbalance
2. Excessive weight loss or gain
3. Excessive stress
4. Thyroid disorder
5. Endometriosis
6. PCOS
7. Prolactinoma
8. Fibroid/adenomyosis
9. Cancer or pre cancerous condition of cervix/uterus/vagina
10. perimenopausal/Menopausal sate.
11. Ectopic pregnancy

Yes you can go for test.
If negative than you should consult the gynecologist and do the following test
1. Hormonal profile: HCG, prolactin, LH,FSH, Estrogrn. progesterone, prolactin
2. USG abdomen
3. PAP smear
4. Endometrial biopsy
5. Ovarian follicle study . to exclude all the above causes.


Hope this may help you
Best regards
Dr. Sagar


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General & Family Physician,  Dr. Dholariya Sagar Jayantilal's  Response
Hello dear
Understand your concern.
Delayed period is the sign of pregnancy.
You can repeat the test after 6 daays.
Or you can do Blood HCG level or USG abdomen that is more sensitive.
Also note the other causes of delayed period:

1. High level of stress
2. Change in life style
3. Late ovulation
4. Excessive exercise
5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine
6. Thyroid problem
7. Hormonal imbalance
8. PCOS
9. Endometriosis/adenomyosis
10. Dysfunctional uterine bleeding

If bleeding not come consult the gynecologist and do the following tests
:
Pelvic examination USG
Endometrial biopsy
Hysteroscopy
Ovarian follicle study
PAP smear

Hope this may help you
Best regards
Dr. Sagar
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Can A Delay In Menstruation Indicate Pregnancy?

Hello dear Understand your concern. Yes delay in period is most common and definitive sign of pregnancy in sexually active women. Urinary pregnancy kit give negative result in early stage because of low level of HCG in urine. It give positive test only 7-10 days after missed period. But blood HCG is very sensitive to detect pregnancy, as evel increased 7 days after ovulation/conception. Abdominal USG is confirmatory test. So I think you should go for Blood HCG and USG abdomen. Also note the other causes of delayed period: 1. Hormonal imbalance 2. Excessive weight loss or gain 3. Excessive stress 4. Thyroid disorder 5. Endometriosis 6. PCOS 7. Prolactinoma 8. Fibroid/adenomyosis 9. Cancer or pre cancerous condition of cervix/uterus/vagina 10. perimenopausal/Menopausal sate. 11. Ectopic pregnancy Yes you can go for test. If negative than you should consult the gynecologist and do the following test 1. Hormonal profile: HCG, prolactin, LH,FSH, Estrogrn. progesterone, prolactin 2. USG abdomen 3. PAP smear 4. Endometrial biopsy 5. Ovarian follicle study . to exclude all the above causes. Hope this may help you Best regards Dr. Sagar