Q. I am late for my periods by 19 days with negative pregnancy tests. What to do?

Answered by
Dr. Sravanthi Nuthalapati
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Nov 12, 2020 and last reviewed on: Nov 28, 2020

Hello doctor,

I have PCOD. And I am having Metformin and Apcod. But a year ago, I left using it; since then, I have been regular on my periods. Recently I got married three months ago, and we have not been using any protection. I am late for my periods by 19 days and two negative pregnancy tests. Due to the pandemic, I am not able to visit any hospital. Please help.

#

Hello,

Welcome to icliniq.com.

Please do not worry, as this can be sorted out. The first thing is that you need to reduce your weight to get your periods regularly without any medications spontaneously. Because PCOS (polycystic ovarian syndrome) is a lifestyle-related problem, it is the weight gain that leads to the hormonal disturbances, causing the symptoms. Also, I would say you should continue retaking your Metformin tablets as they affect regulating your insulin level because the development of insulin resistance is the main culprit for the hormonal disturbances in PCOS.

I have the medications to be taken to get your periods, as the pregnancy tests have been negative twice. Please get the blood tests done as advised below once you get your periods on the second or third periods. Meanwhile, try to reduce your weight, do regular exercise, and maintain an excellent strict diet and avoid a sedentary lifestyle. I hope this helps you.


Investigations to be done:

-Complete hemogram.
-Lipid profile.
-LFT (liver function test), or RFT (renal function test).
-75 g Glucose tolerance Test (Fasting, one hour, and two hours).
- HbA1c (glycated hemoglobin) level,
-Serum calcium, Vitamin D, and B12 levels.
-Serum fasting and postprandial Insulin levels.
-Serum FSH (follicle-stimulating hormone), LH (luteinizing hormone), free testosterone, Estradiol, Prolactin levels, thyroid profile (T3 (triiodothyronine), T4 (thyroxine), TSH (thyroid-stimulating hormone), Anti TPO (thyroid peroxidase)) on the second or third day of the next menstrual period.

Probable diagnosis:

PCOS and weight gain.

Treatment plan:

- Recheck urine pregnancy test if negative then take,
- Tablet Meprate or Deviry (Medroxyprogesterone) 10 mg twice daily after food for five days.
- Wait for withdrawal bleed in the next seven to ten days.
- To get the blood tests on day two or day three menses.

Preventive measures:

-Reduce weight.
-Maintain a menstrual diary.
-Regular exercises at least one hour daily.
-Lifestyle and dietary modifications (Consult a dietician if possible).

Regarding follow up:

- Follow-up with the reports.

Hello doctor,

Thanks for your reply.

I agree with all you say. But I have been very active, and my periods have stopped all of a sudden. What if I am pregnant? If I take tablets to get my periods, might it be at risk? Also, I am in a red zone area; I cannot go to the hospital now as it is risky.

#

Hi,

Welcome back to icliniq.com.

So yeah, even if you are very active, your excess weight contributes to your hormonal disturbance and dietary factors. And yeah, regarding your pregnancy, as the pregnancy test is negative, it implies you are not pregnant at the moment. That is why I asked you to recheck your urine pregnancy test before starting the medications. If you get pregnant despite taking this medication, you do not worry about it; you will not get your periods. Only if you are not pregnant, then only this medication will give you withdrawal periods. I hope this answers your doubt.


Was this answer helpful?

 | 

Related Questions:
Pregnancy tests are negative, but am still having pregnancy symptoms. Why?

In that same week, I had unprotected sex with my fiance, and I had my periods the next day ...   Read full

PCOS and Weight Management

.. major role in managing the complications of polycystic ovarian syndrome (PCOS .. ...   Read full

Pregnancy test shows negative, shall I take medicine to induce periods?

.. case, if pregnancy test has been negative, even till date, then you are surely not pregnant. The delay and irregularity need to be evaluated and investigated to rule out PCOS (polycystic ovarian disease), hypothyroidism or hyperprolactinemia, whic...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Can PCOS cause irregular periods?

Query: Hi doctor, I am a 28 year old unmarried woman. Last month my period was irregular. I got my periods on the 30th of last month and it was already 20 days later from the actual due. Initially, I had spotting for five days, then I bled for seven days and again, had spotting for three days. Now, I am bl...  Read Full »

I have missed period with white vaginal discharge after sex. Why?

Query: Hello doctor, I am a 25-year-old sexually active female. I have missed my period date this month by eight days today. I had sexual intercourse 10 days after periods following which I took an Unwanted 72 two days later. I got my period last month. Following this, I had protected sex (condom). I have...  Read Full »

Though my pregnancy test is negative, I miss my period. What to do now?

Query: Hello doctor, I have missed periods and a negative pregnancy test. Should I wait for another test? I tested three days back. The last LMP date was exactly a month back. This is related to my wife.  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.