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This question was answered on Sun 29, Aug 2010 09:56pm by Dr J Singh

so confused



    
Asked by User148287 (Female; 24 ) on Sun 29, Aug 2010 08:28pm
Priced at $9.00

Last month July 22nd I got my period and it ended the 28th. Well this month my husband and I starting TTC and I started spotting on the 28th very very light spotting and this morning I thought I had started it was a darkish red so I put in a tampon and now nothing no sign of a period. I am so confused because usually the first 2 days of my cycle I bleed heavily. I have taking a few pregnancy test but they are negative. Could I be pregnant and when should I retest if my cycle doesn't return?

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Answer by Dr J Singh (doctor) on Sun 29, Aug 2010 09:56pm:

Hello, Welcome to the forum and thanks for posting on it. Since you had your periods on the 22nd of July, hence your periods were expected around 22nd of August. Since you have missed your periods and have had a little spotting, so the chances of pregnancy cannot be ignored taking in view the fact that you are trying to conceive and having unprotected intercourse. In pregnancy, the growing tissues of the new conception (early fetus) secrete a special hormone into your body called ‘human Chorionic Gonadotrophin’ (HCG). This enters your blood as early as one week following fertilisation.You can do home urine for pregnancy test after 1 week or 10 days of your due periods date. However to completely rule out pregnancy we need to get your serum HCG levels done which is a more sensitive test than urine for pregnancy test. If the serum HCG test comes out negative then other possibility that explains the delaying of your periods need to be explored. Other causes of delayed periods are stress and anxiety, hormonal imbalance, eating disorder, increased smoking, alcohol or caffeine use and medical conditions like PCOS, fibroid, polyps and endometriosis. Although you are not showing any of the other symptoms associated with these causes but if you do not get your periods this month and the pregnancy test comes out negative then all these need to be ruled out. I hope it helps. Take care and please do keep us posted in case you have any additional doubts. Kind regards.
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Comments:

Response by Dr.Kokil Mathur on Sun 29, Aug 2010 10:18pm:
Hi! I completely agree with Dr Anand that pregnancy should be ruled out first. Many women do have light periods or spotting in first three months. Take a serum HCG test for confirmation. If this too is negative then as Dr Anand mentioned other causes of delayed or missed periods will have to be looked at such as stress whether emotional or physical, hypothyroidism, polycystic disease of the ovary, pituitary tumors secreting prolactin, anemia and poor diet, unexplained or sudden weight gain or weight loss. You will need to consult a gynecologist for this. Take care!

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