[20F] Experiencing amenorrhea with negative pregnancy tests

What might be happening

Based on the information you've provided, possible explanations for your missed period include:

• Stress: High levels of stress can disrupt your hormonal balance, leading to changes in your menstrual cycle, including missed periods. You mentioned that you've been dealing with a lot of personal stress lately, which could be contributing to your amenorrhea.

  • Treatment often involves lifestyle changes to reduce stress, such as regular exercise, a healthy diet, and good sleep habits. Cognitive-behavioral therapy or other forms of counseling may also be helpful.

• Weight changes: Significant weight gain or loss can also disrupt your menstrual cycle. You mentioned that you've recently gained weight, which could be affecting your period.

  • Treatment typically involves adopting a balanced diet and regular exercise routine to maintain a healthy weight.

• Polycystic ovary syndrome (PCOS): This is a common condition characterized by hormonal imbalances, irregular periods, and/or small cysts on one or both ovaries. You mentioned that your mother has PCOS, which could increase your risk of developing the condition.

  • Treatment often involves lifestyle changes and may include medication to manage symptoms and regulate your menstrual cycle.

• Pregnancy: Even though you've taken several pregnancy tests that have come back negative, it's still possible that you could be pregnant. Home pregnancy tests aren't always 100% accurate, especially if taken too early.

  • If you suspect you might be pregnant, you should see a doctor for a blood test, which is the most accurate way to confirm a pregnancy.

What you can do

1. Try to manage your stress levels. This could include activities like exercise, meditation, or talking to a counselor or therapist.
2. Maintain a healthy lifestyle. Try to eat a balanced diet and get regular exercise to help manage your weight.
3. Consider seeing a doctor. They can provide a formal assessment and order relevant tests if necessary. If you're sexually active and not using birth control, it might be a good idea to discuss your contraceptive options with a healthcare provider.

What you should look out for

Reasons to see a doctor more urgently:

• If you miss another period or if your periods continue to be irregular
• If you experience severe lower abdominal pain, which could be a sign of an ectopic pregnancy or other serious condition
• If you have symptoms of pregnancy (such as morning sickness, increased urination, and breast tenderness) despite negative home pregnancy tests

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor. You should seek care from a healthcare professional for a formal diagnosis and treatment.