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Period And pregnancy related query
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Gynecology & Pregnancy Care
Question #18499
250 days ago
508

Period And pregnancy related query

Vaishnavi yadav

Hello Doctor, My periods are delayed for more than one month. I had unprotected intercourse last month but pregnancy tests and ultrasounds done earlier were negative. Currently I have white discharge, mild lower abdominal pain, nausea, and occasional back pain. No heavy bleeding till now. Please advise possible reasons for delay and what should be done next.

Age: 20
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Doctors' responses

Hello Vaishnavi Thanks for sharing all the details. Since your pregnancy tests and ultrasounds were negative, pregnancy is very unlikely. Delayed periods with symptoms like white discharge, mild lower abdominal pain, nausea, and occasional back pain can be caused by several things:

Possible reasons for delayed periods: - Hormonal imbalance: Conditions like PCOS, thyroid issues, or stress can disrupt your cycle. - Infections:Vaginal or pelvic infections can cause discharge and pain. - Lifestyle factors: Sudden weight changes, stress, or changes in routine. - Medications:Some medicines can affect your cycle.

What you should do next: 1. Repeat pregnancy test: Just to be sure, especially if the last test was done very early. 2. See a gynecologist: You’ll need a physical exam and possibly repeat ultrasound, hormonal profile (thyroid, prolactin, LH, FSH), and tests for infection (vaginal swab, urine test). 3. Monitor symptoms: If you develop heavy bleeding, severe pain, fever, or foul-smelling discharge, seek medical attention urgently.

Home care tips: - Stay hydrated and rest. - Maintain a healthy diet. - Avoid self-medicating.

Thank you

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Hello Vaishnavi,

Firstly, I would like to know if your periods were regular or not earlier.

Since you had unprotected sex and now have missed periods with pain and discharge, pregnancy or gynecological infection must still be ruled out carefully even if one test and scan were negative.

Repeat a urine pregnancy test after one week, or get a blood beta-hCG test, as early tests can miss a pregnancy.

If pregnancy is again negative, consult a gynecologist soon for internal examination, repeat ultrasound, and tests for hormones, PCOS, thyroid issues, and infections.

Watch for red flags like severe pain, fever, dizziness, or heavy bleeding and visit the emergency room immediately if any appear.

Meanwhile, avoid further unprotected intercourse and do not self-medicate with antibiotics or hormonal pills without prescription.

Dr Nikhil Chauhan, Urologist

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Delayed periods can occur for several reasons, and given your symptoms and recent activities, it’s important to explore a few possibilities. Even with negative pregnancy tests initially, it’s still worthwhile to repeat a home pregnancy test, as the accuracy can depend on timing and method. Test using first morning urine, which is more concentrated and can give more accurate results. If still negative, consider a blood test for pregnancy, as these can detect lower levels of hCG hormone. Your symptoms of white discharge, abdominal pain, nausea, and back pain could relate to hormonal imbalances or an approaching period, as these are common premenstrual signs. Another potential is a condition like polycystic ovary syndrome (PCOS), which can cause delayed menstruation along with some of the symptoms you’ve described. It’s also possible that stress, weight changes, or excessive exercise are influencing your menstrual cycle. If pregnancy is ruled out and periods remain absent, seeing a gynecologist would be wise. They might perform further tests like hormonal blood work or a pelvic ultrasound to investigate other causes like ovarian cysts or other uterine issues. Given the abdominal pain, if it intensifies or you develop any heavy bleeding, fever, or severe symptoms, seek medical attention promptly, as these could hint at an infection or other acute condition. In the meantime, maintaining a healthy lifestyle with balanced diet and regular stress management techniques may help regulate your cycle.

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Hello dear See delay in periods can be due to physiological variation or hormonal alterations In addition there can be chances of advent of adolescence also Iam suggesting some tests for confirmation Please get them done Serum TSH Serum ferritin Serum prolactin Serum estrogen Serum pregesterone Urine analysis Pelvic USG Please share the result with gynaecologist in person for better clarity Please donot take any medication without consulting the concerned physician Regards

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Hello,

Ok vaishnavi. Please redo Pregnancy test at home Use morning first urine If negative- pregnancy completely ruled out

A one-month delay is very common and usually not dangerous

You can check ( for evaluation ): Tsh Serum ferritin

It can be hormonal , pcos, or delayed ovulation.

🛑Please see a gynaecologist in person if; If your period has been delayed more than 6 weeks in total If the discharge has odour If severe pain / heavy bleeding

Stay healthy and calm dear I trust this helps Thank you

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Was the pregnancy test done after how many days of intercourse? Is the white discharge itchy, curdy, or foul-smelling? Were your periods regular before this?

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9 replies
Vaishnavi yadav
Client
250 days ago

I had gall bladder operation for that ultrasound and blood test has been done and no white discharge is not sticky curd or smelling and from past few months my periods is irregular

Tests (if not already done)

TSH (thyroid)

Prolactin

CBC

Pelvic ultrasound (if not done recently)

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Vaishnavi yadav
Client
250 days ago

My thyroid hormone T4 is 13.41H

Vaishnavi yadav
Client
250 days ago

Every reports are normal I had done my test on 24 nov and I had Unprotected sex on 2&3 nov and then 13 November

Your timeline:

Unprotected sex: 2–3 Nov and 13 Nov

Tests done: 24 Nov

Reports: Blood tests + ultrasound normal

A pregnancy test done 21+ days after intercourse is reliable Ultrasound + blood tests being negative = pregnancy ruled out

You are NOT pregnant

Your current symptoms (white discharge, nausea, mild pain) are hormonal, not pregnancy-related.

Now visit a gynaecologist in person for physical examination.

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Vaishnavi yadav
Client
250 days ago

Thank you doctor

Always welcome

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Vaishnavi yadav
Client
250 days ago

For sure I’m not pregnant na? Because I’m very scared

You can do urine pregnancy test at home. Easy .

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