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Period 13 days late & I am having hot flashes please help9
An_247798 posted:
I am 38 and my lmp was 7/26/12 my husband and I was very active in July after my June cycle and August after my July cycle during my fertile days. I have been feeling tingling in my breast for the last month and I have been having hot flashes not normal, moments of dizzy spells & periodic sickness, I took 3 urine pregnancy tests they was negative. Not able to get to the doc for a few wks. I've had abnormal periods in the past but I was not sexually active then. Can I be premenopausal, over weight or stressed? My husband and I are trying to have more children. With my older children the pregnancy wasn't detected unit I was 2 to 3 months along. Can you help me?
2 Replies |Watch This Discussion | Report This| Share this:Period 13 days late & I am having hot flashes please help9I am 38 and my lmp was 7/26/12 my husband and I was very active in July after my June cycle and August after my July cycle during my fertile days. I have been feeling tingling in my breast for the last month and I have been having hot flashes not normal, moments of dizzy spells & periodic sickness, I took 3 urine pregnancy tests they was negative. Not able to get to the doc for a few wks. I've had abnormal periods in the past but I was not sexually active then. Can I be premenopausal, over weight or stressed? My husband and I are trying to have more children. With my older children the pregnancy wasn't detected unit I was 2 to 3 months along. Can you help me?
Jane Harrison Hohner, RN, RNP responded:
Dear An: The three most common causes for a period that is almost two weeks late are:
1. Pregnancy--You mentioned that you have had three negative urine tests (hopefully including one that was done seven days after your missed flow). Usually that rules out a current pregnancy unless you conceived and are going to miscarry. It is hard to know why your other pregnancies were not detected until 8 weeks. Given this fact you might merit a blood pregnancy test.
2. MIssed/late ovulation---As you may know, in a normal cycle, estrogen is produced all month. Estrogen is responsible for building up the lining of your uterus so you have something to shed each month. In a normal cycle, progesterone production increases following ovulation. Progesterone "stabilizes" the uterine lining in preparation for a possible implantation of a new pregnancy. If you are not pregnant that month the levels of estrogen and progesterone fall, triggering the release of the uterine lining—your period.
So, if you do not ovulate, the estrogen build up of the lining continues, but without the usual ovulation associated progesterone. Thus, the hormone levels don't decline, and the lining stays up inside the uterus—your missed/late period.
Bilateral breast tenderness can be a very early sign of pregnancy, appearing as early as two weeks after conception. This is thought to be related to increasing levels of hormones such as estrogen. In a month without an ovulation, not only can a menstrual period be missed, but there can be breast tenderness as well. This is similar to the increased breast tenderness experienced by some women when first taking postmenopausal hormone therapy.
If all pregnancy tests are negative this would be my best GUESS since you had a history of irregular cycles in the past.
3. Sudden onset of menopause--This would be the most rare culprit. But if your cycles do not return an evaluation would include blood work to rule out menopause.
Bottom line, you really should see your GYN or even your local county family planning clinic. They can retest for pregnancy and if negative assess for other causes of your hot flashes and nausea.
Best wishes for conceiving promptly.
Yours,
Jane
1. Pregnancy--You mentioned that you have had three negative urine tests (hopefully including one that was done seven days after your missed flow). Usually that rules out a current pregnancy unless you conceived and are going to miscarry. It is hard to know why your other pregnancies were not detected until 8 weeks. Given this fact you might merit a blood pregnancy test.
2. MIssed/late ovulation---As you may know, in a normal cycle, estrogen is produced all month. Estrogen is responsible for building up the lining of your uterus so you have something to shed each month. In a normal cycle, progesterone production increases following ovulation. Progesterone "stabilizes" the uterine lining in preparation for a possible implantation of a new pregnancy. If you are not pregnant that month the levels of estrogen and progesterone fall, triggering the release of the uterine lining—your period.
So, if you do not ovulate, the estrogen build up of the lining continues, but without the usual ovulation associated progesterone. Thus, the hormone levels don't decline, and the lining stays up inside the uterus—your missed/late period.
Bilateral breast tenderness can be a very early sign of pregnancy, appearing as early as two weeks after conception. This is thought to be related to increasing levels of hormones such as estrogen. In a month without an ovulation, not only can a menstrual period be missed, but there can be breast tenderness as well. This is similar to the increased breast tenderness experienced by some women when first taking postmenopausal hormone therapy.
If all pregnancy tests are negative this would be my best GUESS since you had a history of irregular cycles in the past.
3. Sudden onset of menopause--This would be the most rare culprit. But if your cycles do not return an evaluation would include blood work to rule out menopause.
Bottom line, you really should see your GYN or even your local county family planning clinic. They can retest for pregnancy and if negative assess for other causes of your hot flashes and nausea.
Best wishes for conceiving promptly.
Yours,
Jane
Report This| Share this:Period 13 days late & I am having hot flashes please help9Dear An: The three most common causes for a period that is almost two weeks late are:<br /><br />1. Pregnancy--You mentioned that you have had three negative urine tests (hopefully including one that was done seven days after your missed flow). Usually that rules out a current pregnancy unless you conceived and are going to miscarry. It is hard to know why your other pregnancies were not detected until 8 weeks. Given this fact you might merit a blood pregnancy test.<br /><br />2. MIssed/late ovulation---As you may know, in a normal cycle, estrogen is produced all month. Estrogen is responsible for building up the lining of your uterus so you have something to shed each month. In a normal cycle, progesterone production increases following ovulation. Progesterone "stabilizes" the uterine lining in preparation for a possible implantation of a new pregnancy. If you are not pregnant that month the levels of estrogen and progesterone fall, triggering the release of the uterine lining—your period. <br /><br />So, if you do not ovulate, the estrogen build up of the lining continues, but without the usual ovulation associated progesterone. Thus, the hormone levels don't decline, and the lining stays up inside the uterus—your missed/late period.<br /><br />Bilateral breast tenderness can be a very early sign of pregnancy, appearing as early as two weeks after conception. This is thought to be related to increasing levels of hormones such as estrogen. In a month without an ovulation, not only can a menstrual period be missed, but there can be breast tenderness as well. This is similar to the increased breast tenderness experienced by some women when first taking postmenopausal hormone therapy.<br /><br />If all pregnancy tests are negative this would be my best GUESS since you had a history of irregular cycles in the past.<br /><br />3. Sudden onset of menopause--This would be the most rare culprit. But if your cycles do not return an evaluation would include blood work to rule out menopause.<br /><br />Bottom line, you really should see your GYN or even your local county family planning clinic. They can retest for pregnancy and if negative assess for other causes of your hot flashes and nausea.<br /><br />Best wishes for conceiving promptly.<br /><br />Yours,<br />Jane
shandwilson replied to Jane Harrison Hohner, RN, RNP's response:
Thanks Jane i am waiting on the results of the blood test from my doctor, we are tracking the situation. Like i said in the past when i was pregnant with my daughter 11yrs ago i had 3 negative tests 2 was blood tests
Report This| Share this:Period 13 days late & I am having hot flashes please help9Thanks Jane i am waiting on the results of the blood test from my doctor, we are tracking the situation. Like i said in the past when i was pregnant with my daughter 11yrs ago i had 3 negative tests 2 was blood tests
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