Missed Period for 61 Days: Could I Still Be Pregnant?

If menstruation has been absent for 61 days, what is the likelihood of pregnancy?

My menstrual cycle has always been regular, occurring every 26-27 days without exception.
This time, I have not had my period for 61 days, and I have used 9 pregnancy tests, all of which show negative results.
What could be the situation? Is it definitely not pregnancy, or is there still a possibility of being pregnant? At the end of November, I took antibiotics for 10 days due to a burn.
Could that have any effect if I were pregnant? Additionally, I have been carrying my son; does that have any relation? Recently, I have been feeling more fatigued, experiencing colorless, odorless, non-viscous discharge, and in the past few days, I have started to feel nauseous, easily hungry, and dizzy.
(This feels quite similar to my previous pregnancy symptoms, except I haven't experienced breast engorgement.) Since I am in the United States, they say that if urine tests show no pregnancy, they won't perform an ultrasound.
Moreover, every time I schedule an appointment with an obstetrician-gynecologist, I have to wait over two weeks.
A friend recently came from Taiwan and brought me some menstrual induction medication; can I take that first? I have a scheduled appointment for next Thursday, and if I am pregnant, I would be around 9 to 10 weeks along.
Is it possible to have an abortion before 12 weeks?

Chloe, 40~49 year old female. Ask Date: 2020/01/20

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to have a blood test to check hormone levels to determine if menopause has begun, assuming there is no pregnancy.
Wishing you good health.

Reply Date: 2020/01/20

More Info

It sounds like you're experiencing a complex situation regarding your missed period and potential pregnancy. Given your history of regular menstrual cycles and the fact that you have missed your period for 61 days, it’s understandable that you’re feeling anxious and confused. Let’s break down your concerns and provide some clarity.

Firstly, the fact that you have used nine pregnancy tests that have all returned negative results is significant. Home pregnancy tests are generally reliable, especially when used correctly and after a missed period. However, there are rare cases of what is known as a "cryptic pregnancy," where a woman may not test positive for pregnancy despite being pregnant. This can occur due to various factors, including low levels of the pregnancy hormone hCG (human chorionic gonadotropin) in the early stages of pregnancy or issues with the tests themselves. However, given the number of tests you've taken, the likelihood of this being the case is low.

The symptoms you describe—such as increased fatigue, unusual discharge, nausea, and dizziness—can indeed mimic early pregnancy symptoms. However, they can also be attributed to other factors, including hormonal imbalances, stress, or even the side effects of medications like antibiotics. It’s important to consider that the antibiotics you took for your burn might have impacted your menstrual cycle, although they typically do not cause significant delays in menstruation.

Regarding your question about the potential impact of holding your son, there is no direct correlation between physical activity like carrying a child and missed periods. However, stress and physical exertion can sometimes affect menstrual cycles, especially if you are feeling overwhelmed or fatigued.

As for the use of menstrual induction medications, it is crucial to consult with a healthcare provider before taking any medication, especially if you suspect you might be pregnant. Taking these medications without medical supervision can lead to complications, particularly if you are indeed pregnant. Since you have an appointment scheduled for next week, it would be wise to wait for that consultation. Your healthcare provider can conduct a blood test to confirm or rule out pregnancy definitively, and they may also perform an ultrasound if necessary.

If it turns out that you are pregnant and you are considering your options, it’s important to know that in the United States, most healthcare providers can offer options for terminating a pregnancy up to 12 weeks gestation. However, the specific regulations can vary by state, so it’s essential to discuss this with your healthcare provider during your appointment.

In summary, while the negative pregnancy tests suggest that you are not pregnant, your symptoms warrant further investigation. It’s best to wait for your upcoming appointment to get a definitive answer. In the meantime, try to take care of yourself, manage stress, and avoid self-medicating. Your health and well-being are paramount, and a healthcare professional will be able to guide you through this situation appropriately.

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