What could be the causes of menstrual irregularities other than pregnancy?

Hello,

Welcome to icliniq.com.

I hope you are doing well.

There can be various reasons for a missed period, and pregnancy is not the only possible cause. I want to inform you that the withdrawal method has a high failure rate. It is important to note that pre-seminal fluid or precum (the clear fluid that is released before ejaculation) can contain active sperm, which can lead to pregnancy. Even if ejaculation does not occur, if precum comes into contact with the genitals or thighs, sperm can still swim up and reach the egg, resulting in pregnancy. The brain and multiple hormones regulate periods. Here are some possible reasons for a missed period:

1. Severe anxiety, distress, or extreme emotional states.

2. Sudden weight gain or loss.

3. Abnormalities in thyroid hormone or prolactin levels.

4. Use of hormonal medication or emergency contraceptives.

   Since you had a negative urine pregnancy test, I suggest waiting 14 days after your missed period. You can take another pregnancy test if you still have not had your period. If the test confirms that you are not pregnant, you can consider taking combined oral contraceptive pills. These are typically available in a packet of 21 capsules, such as Tablet Novelon (Ethinyl estradiol and Desogestrel), Ovral-G (Norgestrel and Ethinyl estradiol), Duoluton-L (Levonorgestrel and Ethinyl estradiol), Dear 21 (Levonorgestrel and Ethinyl estradiol), or Intimacy plus 3 (Ethinyl estradiol and Desogestrel). Take one tablet twice daily for ten days (discard the 21st pill). You should expect your period within seven to ten days after taking the last pill.

   I hope this clarifies your query. Feel free to reach out if you have any further questions.

   Regards.