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What causes delayed periods despite a negative pregnancy test?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 39 years old and have been getting delayed periods for the last three to four months. This time it is 22 days now and still no period. Pregnancy test negative. What medicine should I take?

Kindly help.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Follow a few instructions mentioned below:

  1. Have recreational activities as a couple and quit recreational drugs if you have been taking them.
  2. Have complete check-ups and treatment of any health issues you and your husband have.
  3. Have daily walks, exercise, and yoga, and try to have a normal body mass index and weight.
  4. Have a healthy diet with less salt, sugar, oil, and spice and lots of fruits, vegetables, and water.
  5. Have you observed weight gain, or abnormal hair growth these days? If yes then could be a polycystic ovary.
  6. Have you done a scan transvaginal do it better.
  7. Have sex in a fertile period of cycle.
  8. If just two or three days differences then do not bother and try to avoid hormones to further regulate cycles instead do have sex in the fertile period regularly from day 7 to 15 on alternate days to have conception. If you want to regulate cycles then you can have (COCP) for three months but this will act as a contraceptives and u would be unable to try to conceive.
  9. Have daily Folic acid of 0.5 mg (milligrams) if do not have any chronic health issues. But increase the dose to 5 mg if have been treated for diseases like epilepsy, or diabetes.

I hope this helps.

Thank you.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At June 18, 2024
Reviewed At October 24, 2025

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

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