I usually have a 46 day long cycle

Patient

Q: I usually have a 46 day long cycle for my period but I am a week late and the last few days I have been having a bit of old dark bloody discharge not much it's just noticeable when I wipe. I took a pregnancy test when I was 2 days late but it was negative. The only other symptom I have is I have been a bit tired lately. Could I be pregnant?and could the bleeding be implantation bleeding?

Doctor

A:   Hi,
Thanks for the query.

I understand your concern. Irregularities in menstrual cycles can occur due to many causes like lifestyle modifications, stress and strain, weight changes etc leading to gonadal hormonal imbalance, prolactin level changes, thyroid hormonal imbalance etc.
Dark color of the blood usually indicates collected blood in the uterus and possibly this spotting may turn into menstrual flow.
As the urine pregnancy test kit gave a negative result, the possibility of pregnancy is less.
If menstrual flow does not start in one week, better to consult your doctor once and get evaluated.
By clinical examination, investigations like hormonal profile and ultrasound, the possibility of pregnancy can be ruled out and the possible cause of delayed periods can be identified and treated.

Take care.

Related Q&A

Q: Hello. I have a concern that I'm pregnant. First I'm still a virgin and my last period was on 9 /November....

Q: Yesterday I had a ultrasound appointment and my doctor stated that the baby hadn't grown in weight for a week and als...

Q: Does the morning after pill still work during ovulation? I had sex yesterday and the condom broke, I took ellaone 30 ...

Q: I am 16 and I have had protected sex every time I have had it and he has never came inside me even with the condom on...

Q: Hi dunno how to really say this but here goes for 3 days since my ovulation I've been sleepin with my partner cus we ...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews