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What causes delayed period with pelvic pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing pelvic pain for the last few days everytime and my period is late for 1 week as of now. I confirmed that I am not pregnant. I have an urge to urinate more than normal. I also have small nipple pain on both the sides. Please clarify my doubt.

Answered by Dr. Ushasi Mukherjee

Hi,

Welcome to icliniq.com.

Please mention how your menstrual cycles are regarding regularity, duration of bleeding, etc. Your symptoms might be due to premenstrual syndrome with Urinary tract infection. If periods are delayed for 7 days and pregnancy test is negative wait another 7 days for your periods. If not repeat a preg colour test again and inform. Take the tablet below for pain and if pain increases or there is dizziness nausea vomiting or fainting do an USG TVS and inform. Take tablet Urispas (Flavoxate) 1 tablet twice daily for 3 days and tablet Drotin Ds 1 tablet SOS for pain abdomen.

Investigations to be done

Urine for RE ,ME and Culture sensitivity test .Urine for pregnancy test and USG TVS if no periods in 7 days

Differential diagnosis

Preg colour test and USG TVS if periods dont occur in 7 days.

Probable diagnosis

Urinary tract infection with delayed periods with premenstrual syndrome

Treatment plan

Tablet Urispas (Flavoxate) 1 tablet twice daily for 3 days. Tablet Drotin Ds 1 tablet SOS on pain abdomen

Preventive measures

Drink plenty of water avoid salt sugar and caffeine intake.

Regarding follow up

7 days.

Answered byDr. Ushasi Mukherjee

Medically reviewed byDr. Divya Banu M

Published At May 21, 2020
Reviewed AtAugust 31, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Ushasi Mukherjee

Obstetrics and Gynecology

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