My cycle is of 22 days I HD sex with my boyfriend at the end of my period.
Patient :My cycle is of 22 days I HD sex with my boyfriend at end of period previous month without any precaution today it is already 27 days I didn't get periods on 25th day I had sex with my boyfriend and took I pill I did pregnancy test which is negative blood test show prolactin high and urine test shows glucose serum is normal what should I do now?
Thanks for the query to ATD of an opinion,
If the urine pregnancy test is negative as on today then its conclusive as 8 days post missed periods is reliable. If done earlier then suggested to undertake a serum beta hcg test where if hcg levels are less than 5ng/dl then you are surely not pregnant. In that case as you have taken i pill as well so ideally withdrawal should start in next 7-10 days post i pill intake, so considering that you are not pregnant then you can actually wait for another week to allow withdrawal bleed to start naturally else if it doesn't then you can opt for a withdrawal bleed with progesterones.
Secondly if your prolactin levels are high then you must take dopamine agonists like Tab Cabergoline or Bromocryptine on prescription to bring the prolactin levels down as they can as well the cause of this delay. You may share the reports.
I hope i have answered your query in detail,
Wishing you good health,
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