Period And pregnancy related query

Question #18499

54 days ago

139

Period And pregnancy related query - #18499

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

300 INR (~3.53 USD)

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

53 days ago

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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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

53 days ago

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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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

52 days ago

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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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

54 days ago

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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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

53 days ago

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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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

53 days ago

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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Vaishnavi yadav

Client

53 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

Dr. Shayeque Reza

53 days ago

Tests (if not already done)
TSH (thyroid)
Prolactin
CBC
Pelvic ultrasound (if not done recently)

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Vaishnavi yadav

Client

53 days ago

My thyroid hormone T4 is 13.41H

Vaishnavi yadav

Client

53 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

Dr. Shayeque Reza

53 days ago

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

53 days ago

Thank you doctor

Dr. Shayeque Reza

53 days ago

Always welcome

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Vaishnavi yadav

Client

53 days ago

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

Dr. Shayeque Reza

53 days ago

You can do urine pregnancy test at home. Easy .

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Period And pregnancy related query - #18499

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