[25F] Experiencing missed period and cramping

Patient Description

A 25-year-old female is experiencing a missed period, currently 26 days late, accompanied by cramping. She has a new sexual partner and has not yet taken a pregnancy test but is considering doing so. The patient reports clear and thick vaginal discharge. There are no symptoms of nausea, breast tenderness, changes in appetite, weight, fatigue, or mood changes. No recent travel or significant lifestyle changes. Her medical history includes previous diagnoses of chlamydia and trichomoniasis. She is currently taking the birth control pill Tri-Sprintec, which she started in October. No known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Pregnancy: Since your period is 26 days late and you have a new partner, pregnancy is a possibility. A home pregnancy test can help determine this.

    • Testing: A home pregnancy test is a good first step. If positive, follow up with a healthcare provider for confirmation and prenatal care.
  • Hormonal Changes: Starting a new birth control pill like Tri-Sprintec can cause changes in your menstrual cycle, including missed periods and cramping.

    • Adjustment Period: It may take a few months for your body to adjust to the new hormones.
  • Infections: Although you were treated for chlamydia and trichomoniasis, it's important to ensure these infections have cleared, as they can affect your cycle.

    • Follow-Up: Consider a follow-up test to confirm the infections are resolved.

What you can do

  1. Take a Pregnancy Test: This will help rule out or confirm pregnancy.
  2. Monitor Symptoms: Keep track of any changes in your symptoms, such as discharge or cramping.
  3. Consult a Healthcare Provider: If your period doesn't start soon or if you have concerns, it's a good idea to see a healthcare provider.
  4. Use MDandMe: Journal your symptoms, track your cycle, and share this information with your provider for better insights.

What you should look out for

  • Severe Pain or Bleeding: If you experience severe abdominal pain or heavy bleeding, seek medical attention promptly.
  • Persistent Symptoms: If your symptoms persist or worsen, consult a healthcare provider.
  • Positive Pregnancy Test: If the test is positive, schedule an appointment with your healthcare provider for further guidance.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and personalized advice.

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3 mo ago

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People Also Ask


Can starting a new birth control pill cause a missed period?

Yes, starting a new birth control pill like Tri-Sprintec can cause changes in your menstrual cycle, including missed periods, as your body adjusts to the hormones.


What should I do if my period is late and I have cramping?

If your period is late and you have cramping, consider taking a home pregnancy test to rule out pregnancy. Monitor your symptoms and consult a healthcare provider if your period doesn't start soon.


How can I confirm if a previous infection like chlamydia has cleared?

To confirm if a previous infection like chlamydia has cleared, a follow-up test with your healthcare provider is recommended.


What are the next steps if a home pregnancy test is positive?

If a home pregnancy test is positive, schedule an appointment with your healthcare provider for confirmation and to begin prenatal care.


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