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Why I am not getting menses if I am not pregnant?

Q: I am a 24 years old woman having polycystic ovarian syndrome (PCOS) for the past 5 years. I am taking Metformin, Oroknase, Dupaston 15. I got my last period 39 days back. I have taken 3 pregnancy tests till date; all are negative. Why I am not getting my periods if I am not pregnant in spite of taking drugs for it? If I am pregnant, why is my urine test not showing it positive?

A:It is very common for women who have PCOS to have irregular periods, which are more often scanty bleeding and also the interval between periods can be longer. That can be one of the ways women with PCOS present with. Unfortunately, this condition cannot be cured but needs treatment for the presenting symptoms e.g. treating excessive hair growth, hormonal treatment for periods, ovulation induction for anovulation etc. Urine pregnancy test kits these days are very sensitive and if the test is negative, you cannot be pregnant. As far as your periods are concerned, you can take cyclical hormonal treatment e.g. progestogens. When I say cyclical, I mean that you take a break after at least five days of continuous treatment. You should then get your periods within 48 - 72 hours.

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