Hello doctor,My period is late by eight days, negative pregnancy test, cramps that lasted for about a week. I have been trying to conceive for the past six months. Please help.
Hi. Have serum beta hCG, blood pregnancy test immediately to know pregnancy status. If the pregnancy test comes positive then congratulations. If comes negative then it could be due to some hormonal imbalance, illness, sudden weight gain or weight loss, strict diet, strenuous exercise, illness, contraceptive, etc. You can have hormonal induction by having tablet Primolute N 10 mg twice daily for five days and can have a withdrawal bleed, (better to have a blood test on day two of periods, serum progesterone, serum testosterone, serum prolactin, insulin, FSH and LH, thyroid function test, etc.). Fertility issue should be treated in detail after proper unprotected sex for 1 to 2 years and then also if you fail to conceive. Have a healthy lifestyle, physical health, precautions, and try with positivity. Have folic acid daily 0.4 mg if you are not having any chronic health issue. Otherwise, you can have 5 mg daily. Do exercise and walk daily to have normal BMI and weight. Have a healthy, nutritious diet with less salt, sugar, spice,and oil. Have sex in the fertile period of the cycle. In case of irregular cycles, you can regulate cycle by having oral contraceptive pills for three cycles but know that these are contraceptive pills. You can not try in these three months if you are planning to take. It is to support your reproductive system to prepare for pregnancy and soon to have conception. One transvaginal scan as well is needed with blood hormonal tests. Quit recreational drug you and your partner are taking as these reduce fertility and increase chances of congenital anomalies.