I'm really worried because he's been dealing with this for about 20 years now. Sometimes it's manageable, but then it just flares up again. Stugeron used to help keep things under control, but over the past month, he's been taking it three times a day along with 12 tablets of Dytol 5mg daily. He's also been using Stemetil, but this time it seems like nothing's working. We're at a bit of a loss here. Do you have any advice on what we should do next? Can we possibly arrange a visit to discuss this further?

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

Consult Now

_Missed Period, Invalid Pregnancy Test, and Physical Symptoms: Next Steps_ Given your symptoms and missed period, it's essential to determine the cause. Here's a step-by-step approach: *Possible Causes* 1. *Pregnancy*: Missed period, breast tenderness, and cold sore could be indicative of pregnancy. 2. *Hormonal Imbalance*: Hormonal fluctuations can cause breast tenderness, cold sores, and irregular periods. 3. *Stress or Fatigue*: Stress and fatigue can disrupt menstrual cycles and cause physical symptoms. *Next Steps* 1. *Repeat Pregnancy Test*: Try another pregnancy test, preferably a digital one, in the morning when hCG levels are highest. If the result is still invalid or negative, proceed to the next step. 2. *Consult a Gynecologist*: Schedule an appointment with a gynecologist to discuss your symptoms and determine the cause of your missed period. They may recommend: - A blood test to check hCG levels and confirm pregnancy. - A pelvic exam to check for any underlying conditions. - Ultrasound or other imaging tests to rule out other causes. 3. *Address Physical Symptoms*: In the meantime, consider taking over-the-counter pain relievers like acetaminophen or ibuprofen to alleviate breast tenderness and cold sore discomfort. *Important Notes* 1. *Don't panic*: A missed period and invalid pregnancy test don't necessarily mean you're not pregnant. It's essential to consult a gynecologist for a proper evaluation. 2. *Maintain a healthy lifestyle*: Continue to follow a balanced diet, stay hydrated, and engage in regular exercise to support your overall health. Please consult a gynecologist for personalized guidance and care.

Answered 23 days ago