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Q. Why am I not getting periods even with negative HPT?

Answered by
Dr. Vidyaprem
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 27, 2020 and last reviewed on: Jun 06, 2020

Hello doctor,

My periods are late. Even though my home pregnancy test is negative, it is still late. I had bleeding for a couple of days after having intercourse before three weeks. What could possibly have gone wrong?

Dr. Vidyaprem

Obstetrics And Gynaecology
#

Hi,

Welcome to iclinq.com.

I saw your concern. It is unlikely to be a pregnancy. The cause for the delay could most probably be hormonal.

The reason for bleeding could be uterine or ovulatory. Nothing to worry about it. Do you have bleeding every time after sex? If yes, then you need to have in-person gynecologist opinion to look at your cervix for the cause (post-coital bleeding). Anemia, weight gain hypothyroidism, stress, change in food and exersise pattern can affect the cycle length and pattern.

I hope this helps.


The Probable causes:

Hormonal.

Investigations to be done:

TVS (transvaginal scan) if the post-coital bleeding is recurrent.

Probable diagnosis:

Delayed cycle (probably hormonal).

Treatment plan:

Just wait for a week, if you do not get your cycles repeat UPT (urine pregnancy test) if negative, take tablet Medroxy progesterone acetate 10 mg
(Meparate) once daily at bedtime after food for five days. Cycles revert by one week of last dose of progesterone.


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