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My periods are delayed by 14 days
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Gynecology & Pregnancy Care
Question #11703
341 days ago
1,859

My periods are delayed by 14 days

Sakshi

My last period is 4th-6th august,I had intercourse on 23rd August and 1st September, still I didn't get periods as it's 16th September already, I did a UPT which is negative but still no periods. My age is 21, What can I do now?

Age: 21
Chronic illnesses: No
Sometimes slight stomach ache and bloating
$7.5
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Doctors' responses

Since your test is negative but periods are still delayed, repeat the test in a few days or get a β-hCG blood test for confirmation. If still negative, consult a gynecologist for evaluation of hormonal/PCOS causes.

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Hello Sakshi,

I understand this might be worrisome, but I’m here to help.

Just to clear all the doubts, do another UPT. If it is negative, no need to worry, just take this tablet -

Tab. Norethisterone 5mg, twice a day × 5 days, stop on 6th day.

You’ll get your periods and be fine.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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hello sakshi kindly repeat upt test again and reply here. if positive do usg to know the location of pregnancy if negative , still do usg to confirm pcos, but pcos is not an seriuos issue, as this is the first tym u hav missed your periods , and this is not the ovulation day of your cycle. kindly reply about report so that i can prescribe u the medicines for period withdrawal… thankyou

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Hello

A late or missed period can be a source of stress and worry, especially when you’ve had unprotected intercourse. Here’s a breakdown of what you should know and what steps you can take.

Understanding Your Menstrual Cycle and Pregnancy Tests Normal Cycle Variation: The average menstrual cycle is 21 to 35 days long. It’s normal for your period to vary in length from month to month by a few days.

How Pregnancy Tests Work: Home urine pregnancy tests (UPTs) detect the hormone human chorionic gonadotropin (hCG), which is produced after a fertilized egg implants in the uterus.

Timing of the Test: A UPT is most reliable from the first day of your missed period. If you don’t know when your period is due, it’s generally recommended to wait at least 21 days after the last time you had unprotected intercourse before taking a test. Taking a test too early can result in a false negative because there may not be enough hCG in your urine yet.

Possible Reasons for a Late Period (Other than Pregnancy) Since your UPT was negative, it’s possible that your late period is due to factors other than pregnancy. These can include:

Stress: High levels of stress can disrupt the hormones that regulate your menstrual cycle.

Lifestyle Changes: Significant changes in your body weight (either gain or loss), or a change in your exercise routine, can affect your period.

Medical Conditions: Certain medical conditions can cause irregular or missed periods, such as:

Polycystic Ovary Syndrome (PCOS): A hormonal disorder that can cause irregular periods.

Thyroid Issues: An overactive or underactive thyroid can affect your menstrual cycle.

Medications: Some medications, including certain antidepressants and hormonal birth control, can impact your cycle.

Age: It’s common for periods to be irregular during the first few years after they begin.

What You Should Do Now Wait and Retest: Since you had intercourse on September 1st, it’s possible you tested too early, especially if that was when you ovulated. The period from August 4-6th makes your next period due around the first week of September. However, the exact timing of ovulation can vary. It’s recommended to wait a few more days, or even a week, and take another UPT.

Take the Test Correctly:

Read the instructions on the test kit carefully.

For the most accurate results, use your first-morning urine, as it’s the most concentrated.

Consult a Healthcare Provider: If you have taken a second test and it is also negative, but your period still hasn’t arrived, or if you are concerned, it’s a good idea to speak with a doctor or a gynecologist. They can help determine the reason for your missed period and provide appropriate advice or a blood test to confirm or rule out pregnancy

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Hello dear See as per clinical history delayed periods are due to hormonal alterations or physiological variation I suggest you to please get following tests done for confirmation Serum ferritin Serum prolactin Serum progesterone Serum tsh RBS Urine analysis Pelvic USG Please share the details with gynacolologist in person for better clarification Please donot take any medications without consulting the concerned doctor Regards

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Since your period is delayed and the urine pregnancy test is negative, it is unlikely that you are pregnant. Period delays can occur due to stress, hormonal imbalance, thyroid issues, or recent medication use. Please consult a gynecologist for evaluation, which may include hormonal tests and an ultrasound to determine the cause and guide management.

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Hi Sakshi,

1.Please repeat UPT after 5–7 days (first morning urine, most accurate). 2.If still negative,do a blood test Beta hCG 3.If blood test is also negative, it’s likely hormonal delay, NOT PREGNANCY.

IF PREGNANCY IS RULED OUT; Do 1.Thyroid profile test 2.Fsh/Lh/Prolactin 3.USG PELVIC

Don’t t self medicate. Please consult a gynaecologist if pregnancy test is negative and no periods until end of September.

I hope this answer helps. Feel free to ask Thank you dear.

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You can still check in 45 days better to wait if you still get negative in 45th day please consult ur doctor and morever no periods delayed periods is also due to hormonal imbalance nothing to worry!

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A missed period despite a negative pregnancy test can be due to hormonal imbalance, stress, sudden weight changes, thyroid issues, or polycystic ovary syndrome (PCOS). Since your UPT is negative, it’s reasonable to repeat the test in a few days or get a quantitative blood beta-hCG to rule out pregnancy more accurately. Please consult a gynecologist to evaluate the cause of delayed periods and recommend tests like ultrasound, hormone profile, and thyroid function.

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Given your period is delayed and the urine pregnancy test (UPT) came back negative, there are several reasons this might be happening. Firstly, it’s crucial to consider that over-the-counter pregnancy tests aren’t infallible, especially if done too early or not according to instructions. You might try repeating the test in a week if your period hasn’t started by then, just to be sure. Ensure you use the first morning urine for the most accurate result. If it’s still showing negative and there’s no menstruation after a reasonable wait, then it might be time to explore other causes. Stress, changes in diet, vigorous physical activity, or weight fluctuations often result in delayed periods. Polycystic Ovary Syndrome (PCOS) is another underlying cause you could consider, given your age, which often disrupts menstrual cycles. Hormonal imbalances, such as thyroid issues, could also be contributing factors. If you’ve noticed any symptoms like significant mood changes, sudden weight gain or loss, or excessive hair growth, discussing these with a healthcare provider could give clues. If there’s pain, fever, or any unusual symptoms, it warrants an urgent visit to the clinic to rule out any acute conditions. If your lifestyle or routine has altered lately, it might be useful to monitor your cycle over the next few months to see if a pattern emerges or if the cycle normalizes. Nonetheless, ongoing issues with menstrual irregularities are best assessed by a healthcare provider who may recommend further tests or a referral to a gynecologist.

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