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I have not had my periods for four months. Can I be pregnant?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At July 4, 2020
Reviewed AtSeptember 4, 2023

Patient's Query

Hello doctor,

I have not had my periods for four months. I had sex three months back. After two months of having sex, I took three pregnancy tests at suitable intervals. They all were negative. Earlier I have been diagnosed with PCOS. Can I be pregnant? Also, I have attached some of my blood reports and USG report too. Kindly check it.

Hello,

Welcome to icliniq.com.

Two things are clear from your USG (attachments removed to protect the patient's identity) -

  1. You are not pregnant as your scan shows a not pregnant size uterus.
  2. You do not have polycystic ovaries.

Your blood reports show:

1. A normal thyroid function.

2. A normal FSH (normal functioning pituitary).

3. Normal sugars.

4. Normal insulin levels.

5. Normal blood counts (means no infection or anemia).

6. Near normal LH (luteinizing hormone) and DHEAS (dehydroepiandrosterone-sulfate) values.

All these points that you do not have PCOS. But your prolactin levels are high. Prolactin is a hormone produced by the pituitary (a gland in the brain), which is responsible for milk production post-delivery. Therefore it should increase only at that time. But in your non-pregnant state, prolactin is increased (stress could be a cause for the rise in prolactin). This could be the cause of your absence period. This can be treated using the drug Cabergoline or Bromocriptine, depending on the underlying causes. Consult your obstetrics and gynecologist. You may have to take a CT scan.

Do not worry. It is completely treatable.

Regards.

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

Dr. Poonguzhali Liston
Dr. Poonguzhali Liston

Obstetrics and Gynecology

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