I have been feeling pregnant for almost 3 to 4 months now
Patient :Hi i have been feeling pregnant for almost 3 to 4 months now, and my lower tommy is seems to be increasing ( shape like a pregnant women). My breasts have increased and some times are very sore but sometimes, just my nipples are sore. All my tests have come out neg. I don't know what to do. I have irregular periods and in march i had something like a one day spotting, waited 2 weeks did a home test and iwas negative, since then have done about 4 or 5 tests still negative. And now i feel vry gassy, heavy on the abdominal side, small sharp pains around the cervix and everyday lower back pain.Some times i feel like throwing up but then i have control over it. I sleep alot now and very forgetful too.
Please help me
Thanks for the query to ATD for an opinion,
If you have been having delayed menses and your pregnancy tests have been negative then the most common possibility could be polycystic ovarian syndrome or PCOS. PCOS is characterised by irregular delayed menses, excessive bodily hair growth, high androgen levels with multiple cysts in the ovary. This is accompanied with obesity and anovulatory cycles due to increased insulin resistance. This is the most common cause in reproductive age group women who are sexually active.
As you have missed menses since march, the present symptoms of bloating, gassiness, mild abdominal cramps, nausea, mood swings can indicate that possibly your menses are to ensure in next few days and these are premenstrual symptoms. But is you don't resume your menses in next few days then you should ideally get an ultrasound pelvis to look for polycystic ovaries and a hormonal profile to look for high androgen levels, hypothyroidism/ or hyperprolactinemia or progesterone deficiency. These are the likely possibilities which warrant investigation.
As pregnancy is ruled out, you can presently opt for a withdrawal bleed with progestins to resume your menses and then undergo complete hormonal, physical and gynaecological examination with your physician to ascertain the possible cause of delay in menses, so that treatment can then be directed accordingly.
I hope I have answered your query in detail.
Wishing you good health,
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.