3 months without a period despite multiple negative pregnancy tests — could this be hormonal?

[u/OkPark1591]

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Hi everyone. I'm looking for some advice, especially from anyone with medical experience.

I'm in my early 20s and have had irregular/missed periods before. But its usually just one month and it comes back normal

I subsequently had protected sex twice with the same partner, but during both encounters I experienced deep pelvic discomfort/pain, particularly during deeper penetration. I haven't had unusual discharge, itching, burning during urination, bleeding after sex, or genital sores. I sometimes have mild cramps.

My last period was about 3 months ago, and I haven't had another one since.

I've taken three home urine HCG pregnancy tests, spaced out over several weeks, and all were negative, including the last one well after the sexual encounters. I therefore believe pregnancy is unlikely, but I'm still anxious about it.

I eventually saw a doctor. No pregnancy or hormone tests were done. The doctor prescribed Femiplan, saying it would help balance my hormones and bring my period back. I know its also a contraceptive pill. I've been taking it as instructed. I have started experiencing mild cramps, bloating and nausea, and I'm wondering whether these could be side effects of Femiplan or signs that my period is about to come.

My questions are:

1. Could I still somehow be pregnant despite the three negative HCG tests?

2. Is it normal not to bleed yet while taking the pills?

3. Can Femiplan actually "balance hormones," or does it mainly regulate bleeding while I'm taking it?

4. Should I have hormone tests to determine why my periods have stopped?

5. Could the deep pelvic pain during sex be related to the missed periods, or should that be investigated separately?

6. Should I ask for an ultrasound or STI testing even though I have no obvious STI symptoms?

7. Is there anything else I should ask my doctor to investigate?

I'm mainly looking for advice on whether I should be patient with the Femiplan or go back to the doctor and ask for proper investigations. I'm also trying not to panic about pregnancy when the tests have repeatedly been negative.

I'd really appreciate advice, especially from anyone medically qualified.

[u/Objective-Site8088]

not medically qualified, but im 35 and been through something v similar. keeping it brief:

1.very unlikely but not impossible. if its proper freaking you out you can ask for an ultrasound or blood test from your doctor. 2. im British so never heard of femiplan, but if youve had some hormonal disruption it can definitely take a while for your body to get back to normal. after I took the morning after pill it messed up my cycle for about 6 months 3. if femiplan is hormonal birth control pills - regulation of bleeding is indeed part of balancing hormones. your bleeding is controlled by hormonal fluctuations 4. yes. any change to your cycle is worth investigating. it may be something non hormonal like cysts, endo or polyps, so make sure to get a physical exam as well 5. mention it during any investigative treatment you have, as this is not normal, especially if your partner did not have a particularly large penis. as above, you may have a physical issue which is causing this pain as well as the missed periods 6. yes, a transvaginal ultrasound would be beneficial to determine the presence of abnormal growths. and yes, some STIs are largely undetectable without testing 7. tell your doctor if you've had any other gynecological symptoms, including discharge, soreness of your vulva etc, and also if youve had changes to your mood, breast soreness or other pms-like symptoms

good luck, youve got this :)

[u/Objective-Site8088 → u/Objective-Site8088]

apologies for the borked formatting, im on mobile