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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Haven't Had Periods Since 2months. Pregnancy Test Shows Negative. Suspected To Have A Bulky Uterus. What Could Be Done?

i am 26 years of age and married.my last menses started on the 28th march 2013 and uptill now i haven't had my menses.i have used 2 pregnancy test kits at different times and the results are negative.i visited the hospital and the doctor said from physical examination,i have a bulky uterus bt asked that i take a scan.i am a bit scared of the result.what could be wrong with me pls?
posted on Thu, 9 May 2013
Twitter Thu, 9 May 2013 Answered on
Twitter Fri, 10 May 2013 Last reviewed on
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General & Family Physician,  's  Response
Hi and thanks for the query,
failure to have a normal menstrual flow suggests first a pregnancy test. If an appropriate pregnancy test is negative, it is called secondary amenorrhea and deserves an in depth investigation. It is not unusual however to experience this is young females of reproductive aged.
Causes could range from brain, uterine to other metabolic problem. Increased prolactine secretion could lead to lack of periods. Abnormalities of the uterus and ovaries could also be implicated. Uterus disease, hypertrophy or problems with the cervix are common causes. general diseases like thryoid disease could have manifestations at the levels of the menstrual cycle.
A clinical evaluation is a key aspects in the diagnostic process. Doing an ultrasound, measure of serum prolactine levels, thyroid disease screen initially could give a clue to possible causes. I suggest you consult your gynecologist for a proper clinical evaluation.
Thanks and best regards,
Luchuo, MD.
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Haven't Had Periods Since 2months. Pregnancy Test Shows Negative. Suspected To Have A Bulky Uterus. What Could Be Done?

Hi and thanks for the query, failure to have a normal menstrual flow suggests first a pregnancy test. If an appropriate pregnancy test is negative, it is called secondary amenorrhea and deserves an in depth investigation. It is not unusual however to experience this is young females of reproductive aged. Causes could range from brain, uterine to other metabolic problem. Increased prolactine secretion could lead to lack of periods. Abnormalities of the uterus and ovaries could also be implicated. Uterus disease, hypertrophy or problems with the cervix are common causes. general diseases like thryoid disease could have manifestations at the levels of the menstrual cycle. A clinical evaluation is a key aspects in the diagnostic process. Doing an ultrasound, measure of serum prolactine levels, thyroid disease screen initially could give a clue to possible causes. I suggest you consult your gynecologist for a proper clinical evaluation. Thanks and best regards, Luchuo, MD.