Katie asked 4 months ago
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Hi,
I am 31 years old and have had regular 26 day cycles for years. I am now 16 days late according to my calculations (i keep track of this using a calendar). I have taken 3 HPT throughout the last 16 days. My LMP was June 19. I am having extreme heartburn, vomiting on some days, nausea on others, extreme fatigue, larger breasts. I do not know when would be a good time to get a blood test done, or what else could be causing this.



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1 Answers
Inesse Mills - gynecologistInesse Mills - gynecologist Staff answered 3 months ago
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1 Star2 Stars3 Stars4 Stars5 Stars (1 votes, average: 5.00 out of 5)
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Hello Katie.
As I understood your home pregnancy test is negative, but you are 16 days late with your period and you don’t feel well. 
I must say that such a situation is not uncommon, however there are many reasons why it happens, and the right answer you can get only after blood test. First I recommend that you do a blood test for a pregnancy hormone. If the result is negative, then a comprehensive blood test for hormones must be submitted.
 
Here are some causes of period delay:

  • Problems with weight, improper diet, debilitating diets.
  • Sharp climate change during the trip.
  • Chronic fatigue, intense physical activity.
  • Stresses, traumas, diseases with a long recovery period.
  • Individual response of the body to the taking of any medicine, intoxication of the body.
  • Climax.

A single delay for several days is unlikely to have serious consequences and does not indicate the presence of disease or pathology. If the cycle fails repeatedly, you need to contact the doctors and find out the reasons.
Hormonal pathology, inflammatory diseases can lead to a delay in menstruation.
Delay of menstruation and abdominal pain with a negative test may indicate a gynecological pathology. The most common causes include inflammation of the ovaries. Also, the delay may be caused by: oncological diseases of the reproductive organs, fibroids, inflammation of the uterine appendages, endometriosis and other pathologies.
Most often delay of periods is caused by problems with the endocrine system
The most common causes and symptoms are:

  • Excess weight or weight deficit.

One of the reasons for the hormonal failure may be a sharp increase or decrease in weight. Excess weight is accompanied by an accumulation of estrogen in the body, which entails a prolonged absence of menstruation. Prolonged significant weight loss (the accepted critical mass of 45 kg) leads to failure of all organs. Delay of menstruation for 2 or more months, with a negative test should be an occasion to take control of your weight. Normalizing the weight will help to adjust the menstrual cycle.

  • Intoxication of the body.

Not only taking alcohol, drugs or smoking can cause a menstrual cycle. The presence of any disease in the chronic or acute phase can lead to a situation such as a delay in menstruation, with a negative test. The thing is that taking medications can lead to intoxication of the body, and as a consequence to a delay.

  • Admission of hormonal drugs.

Stopping contraceptive use or taking emergency oral contraceptives can provoke a delay. The body needs time to restore the cycle and adapt the body.

  • Polycystic ovary syndrome (PCOS).

Polycystic ovary is dangerous not only in the irregular menstrual cycle. Women with polycystic ovaries often suffer from infertility, in addition to the delay of menstruation, amenorrhea, absence of ovulation, and an elevated level of male sex hormones are diagnosed. Concomitant symptoms of PCOS include increased hairiness in the arms, abdomen, above the upper lip, excessive fatness of the skin and hair, overweight (obesity).

  • Inflammatory processes.

The body in which any inflammatory process is taking place is most often affected by the cycle. Common pathogens are: staphylococcus, streptococcus, Trichomonas, Candida fungus. Signs of possible inflammation of the ovaries – a delay in menstruation with a negative test, the temperature is raised, lower abdominal pain, vomiting, upset of the chair, nausea, various discharge from the vagina.

  • Inflammation of the urinary bladder, cystitis.

In the presence of this disease, the delay can last from several days to several weeks. Since cystitis also affects female ovaries, recovery of the cycle should be expected after a complete cure.

  • ARI, tuberculosis, bronchitis – any of these diseases can cause a menstrual cycle.
  • Pituitary adenoma.

One of the first symptoms of pituitary adenoma is a delay in menstruation. Signs of the disease include: an increase in the nose, a change in the bite and the shape of the superciliary arches, the appearance of skin rashes on the face, headache, nausea.

  • Ovarian cyst.

Delay of menstruation for a week or more can be triggered by the appearance of a cyst. The simplest case is a follicular cyst that does not require surgical intervention. Pathological formations, including benign tumors, require surgical intervention. Delay in menstruation, the test is negative, it hurts the abdomen, nausea, fever – these are common symptoms of the disease.
If the delay is monthly with a negative test, accompanied with nausea, pulling pains in the lower abdomen, secretions – should immediately call a gynecologist.
I wish you all the luck!



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