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Late Menstrual Period: 5 or more days overdue compared to usual menstrual cycle
Missed Menstrual Period: no menstrual flow for more than 6 weeks
The first day of menstrual bleeding is considered the first day of a new menstrual cycle.
Menstrual bleeding typically lasts 3-7 days.
Ovulation generally occurs around day 14 of the cycle.
The length of the menstrual cycle varies from woman to woman. The range is from 24 to 35 days. The average is 28 days.
Pregnancy is the most important cause. This possibility needs to be considered in any woman who has a missed or late period.
Dieting, exercise and weight loss
Polycystic ovarian disease
Birth control pills
Pituitary and other endocrine disorders
Home Urine Pregnancy Tests
Home urine pregnancy tests are inexpensive, accurate, and easy to use. Most drug stores sell these tests over-the-counter.
Urine pregnancy tests can often diagnose pregnancy during the week after the first missed period (2 weeks after ovulation).
Use of a first-morning urine specimen is recommended because the urine HCG concentration is highest in the morning.
When a home pregnancy test is negative, but there is still a high suspicion of pregnancy, the woman should either repeat the test in 3-5 days or go to her doctor's office for testing.
The urine pregnancy test can sometimes be falsely negative if the urine specimen is very bloody. A small amount of blood (e.g., blood-tinged urine) should not interfere with the accuracy of the test.
More information is available at: http://www.womenshealth.gov/publications/our-publications/fact-sheet/pregnancy-tests.cfm.
ABDOMINAL PAIN, FEMALE
Questions about EMERGENCY CONTRACEPTION
VAGINAL BLEEDING, ABNORMAL
Passed out (fainted)
Severe abdominal pain
You feel weak or very sick
Abdominal pain and you are pregnant
Abdominal pain and you might be pregnant
You have other questions or concerns
You are pregnant
You want a pregnancy test done in the office
Recent weight loss
Age greater than 45 years
Missed 2 or more periods in a row
Missed period has occurred 2 or more times in the last year
Missed or late period and you don't think you need to be seen
Pregnancy test, when in doubt:
If there is any possibility of pregnancy, obtain and use a urine pregnancy test from the local drug store.
Follow the instructions included in the package.
Stress: Stress can interrupt normal menstrual periods. Try to reduce your stress by talking about it with a friend or family member. Try to avoid or decrease stressors. If this is not effective, seek help from a counselor or talk with your doctor.
Call Your Doctor If:
Pregnancy test is positive
You have difficulties with the home pregnancy test
New symptoms suggest pregnancy (e.g., morning sickness, breast tenderness/swelling)
You need help coping with stress
You become worse
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