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Asking for Self, Female, 36 years old, Karachi
Hello doctors, I need some guidance. I have always had a very regular 26-day menstrual cycle all my life, except during pregnancies. This time my period is late (currently day 33), which has never happened before. My last period started on 10th May and was quite heavy, especially during the first two days with noticeable clotting. I had protected intercourse (condom used correctly, no slip or break), so pregnancy seems unlikely. I initially experienced PMS symptoms like breast tenderness, mild cramps, nausea, and mood changes, but now most of these symptoms have reduced or disappeared, and still no period. I also have a history of low ferritin and folic acid. My ferritin was previously around 18 but improved to the 60s before my last period, and other blood tests were normal. However, recently I have been experiencing hand numbness at night again and feel it might be low. Kindly advise possible causes and whether I should wait, test for pregnancy, or consider any treatment.
do urine pregnancy test . check vitamin d and B12 levels. add beetroot in your diet
Wa Alaikum Salam wa Rehmat Allah
Pregnancy is always a possibility. If not one time delayed cycle calls for a cycle diary for at least six months to understand pattern. For now only take Folic acid
For numbness nausea and mood changes
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Ur query is well understood but
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check for pregnancy and fasting blood sugar if your parents or family has history of diabetes and cbc .
I can help and guide you all
Get serum beta HCG to detect pregnancy. Start tablet qfolic HR 1 mg once a day if positive. If beta HCG is negative then start myoinositol sachet once a day for 3 months , take low carb high protein diet , maintain weight, sleep well at night , manage stress. Get TSH n free T4 , hBA1C , n tell us
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