[22F] With missed period and multiple symptoms post-UTI

Patient Description

A 22-year-old female is experiencing a missed period by six days with a negative pregnancy test. She reports headaches, moodiness (both irritability and sadness), back pain, milky white vaginal discharge without odor or itching, and vomiting. Her menstrual cycles are typically regular, occurring every 31 days, and she has not had any significant stress or lifestyle changes recently. She had a urinary tract infection (UTI) last week, treated with antibiotics, and follow-up tests confirmed the infection has cleared. She has been feeling moody for the past two weeks, affecting her daily life and interactions with others. Additionally, she reports dizziness, lightheadedness, changes in vision, breast tenderness, and abdominal pain or cramping. She has not experienced numbness or tingling in her extremities, severe headaches or migraines, and has not traveled recently. She has no pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Early Pregnancy: Even though your pregnancy test was negative, it is still possible to be pregnant. Sometimes, it takes a little longer for the hormone levels to be detectable by a home pregnancy test. Symptoms like missed periods, moodiness, breast tenderness, and nausea (vomiting) are common in early pregnancy.

    • Testing: You might consider retaking a pregnancy test in a few days or getting a blood test from your doctor, which can detect pregnancy earlier than a urine test.
  • Hormonal Imbalance: Conditions like polycystic ovary syndrome (PCOS) or thyroid disorders can cause missed periods, mood changes, headaches, and other symptoms you are experiencing.

    • Testing: Blood tests to check hormone levels, including thyroid function tests, can help diagnose these conditions.
  • Stress or Illness: Even if you don't feel particularly stressed, your body might be reacting to recent events, such as your UTI. Physical stress from an infection can sometimes delay your period.

    • Management: Ensuring you are fully recovered from your UTI and managing any underlying stress can help.
  • Infection or Other Gynecological Issues: While your discharge is not associated with odor or itching, it is still possible that an infection or other gynecological issue could be affecting your menstrual cycle.

    • Testing: A pelvic exam and possibly a vaginal swab can help rule out infections or other issues.

What you can do

While waiting to see a healthcare provider, here are some steps you can take:

  1. Retake the Pregnancy Test: If your period does not start in a few days, consider retaking a home pregnancy test or scheduling a blood test with your doctor.
  2. Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes. This information can be very helpful for your healthcare provider.
  3. Stay Hydrated and Rest: Ensure you are drinking plenty of water and getting enough rest, especially as you recover from your recent UTI.
  4. Manage Stress: Engage in stress-relieving activities such as yoga, meditation, or light exercise.
  5. Monitor Your Discharge: Keep an eye on the discharge for any changes in color, consistency, or odor, and report these to your doctor.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Abdominal Pain: If you develop severe or worsening abdominal pain, seek medical attention promptly.
  • Heavy Bleeding: If you start bleeding heavily or have unusual bleeding, contact your healthcare provider.
  • Persistent Vomiting: If vomiting continues and you are unable to keep fluids down, you may need medical attention to prevent dehydration.
  • Worsening Symptoms: If any of your symptoms worsen or new symptoms develop, it is important to see a healthcare provider.

Remember, while I can provide information and suggestions, it is important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago

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People Also Ask


Can a negative pregnancy test still mean I'm pregnant?

Yes, a negative pregnancy test can still mean you are pregnant, especially if taken too early. Hormone levels may not be high enough to detect. Retake the test in a few days or get a blood test for more accurate results.


What are the common symptoms of a hormonal imbalance?

Common symptoms of hormonal imbalance include irregular periods, mood swings, headaches, weight changes, and fatigue. Conditions like PCOS or thyroid disorders can cause these symptoms.


How can a recent infection like a UTI affect my menstrual cycle?

A recent infection like a UTI can cause physical stress on the body, which may delay your menstrual cycle. It's important to ensure full recovery and manage any stress to help regulate your cycle.


What should I do if my vaginal discharge changes?

If your vaginal discharge changes in color, consistency, or develops an odor, it could indicate an infection or other gynecological issue. It's important to consult a healthcare provider for evaluation.


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