Hi! I can understand your concern. Since you have missed your periods and the urine test is negative, take a
blood pregnancy test for confirmation. With the treatment of PCOS, at times ectopics do happen and pregnancy
test remains negative at times. Hence if blood test is negative, a transvaginal ultrasound should be done if
the gynecologist who assesses your case feels the need. There are many reasons to miss periods. Stress whether
emotional or physical can delay the period. Hypothyroidism, pituitary tumors secreting prolactin, nemia and
poor diet and unexplained or sudden weight gain or weight loss are the other factors to be looked into. If you
and your partner have been trying for kids for a year and you have not had kids earlier and this time the
missed period is not due to pregnancy, then you should consult an infertility specialist. There are various
reasons for this like ovum not being formed, hormone imbalance probably due to PCOS, hypothyroidism, local
infection, blocked tubes etc. A vaginal examination, PAP smear, STD panel, a complete hormone panel (thyroid,
estrogen, progesterone, FSH, LH and prolactin), CT scan or ultrasound, hysterosalpingogram, semen analysis,
etc will need to be done. It is difficult to really comment on your possibility of pregnancy right now.
However I sincerely hope this post helps you understand the course of action to be taken. Please let me know
if there is any thing else and do keep me posted. Take care!
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