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Yazan Alhourani

Yazan Alhourani

Licensed Physician

الأسئلة المجابة 75463 | نسبة الرضا 98.7%

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Hi Good Day i have 22 days off period im worried, ...

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Hi Good Day i have 22 days off period im worried, im taking pills, and im not pregnant i use pregnancy test ,and i have period last june and my nxt period july 28 until now, is not heavy only spotting, please help me thank u

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إجابة الخبير: Yazan Alhourani

Yazan Alhourani

Yazan Alhourani

Licensed Physician

الأسئلة المجابة 75463 | نسبة الرضا 98.7%

what is the possible cause in your case ?
- we are not aware if you are still take the OCP pills or not , but its supposed to be stopped at 21th day of period 
- if you are taking it continuously , then period is more likely to be delayed 
- OCP in general cause period irrgularties 
- other causes of delayed period :
1. Hormonal changes 
2. stress
3. Obesity
4. Thyroid diseases
5. gastic system disease (wheat allergy)
6. ovarian cysts 
7. malnutrition and low weight 
what to do next :
1. consult GYN doctor to do the needed routine medical test and determine the treatment pathways ( if needed ) 
2. in case of hormonal changes , doctor may prescribe medication to correct hormones imbalance such as duphaston , which you should take a pill every 12 hours for 5 days  
3. in case of thriod hormone abnormalties ( usually accompanied with other symtpoms ) , doctor will prescribe medication such as Levothyroxine
4. in case of other chronic disease such as ovarian cyst ( PCOS ) or other disease , doctor may need addvanced examnation to determine the causes and treatment pathway 
5. general advices :
- avoid stress  and have plenty of rest 
- healthy life style including health diet and regular exercise 
Needed medical examnation :
1. physical examnation 
2. Pregnancy test 
3. vaginal culture and urine test
4. productive system ultra sound 
5. hormone levels including productive system hormones and thyroid hormones 

إسأل Licensed Physician

Yazan Alhourani

Yazan Alhourani

Licensed Physician

الأسئلة المجابة 75463 | نسبة الرضا 98.7%

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