instruction: hello doctor I missed my period but I am not sure why I am not pregnant my last period was on 14th of last month and my period is due on 10th of this month I do have a lot of disturbed sleep due to my 18 month old baby who does not sleep very well and wakes at night I am always very tired my weight has always been the same I have not had this problem before with a late period unless I was pregnant should I go and see a doctor or be worried I do no do any exercise nor under contraception also I am not sexually active for the past three months
output: hello if you have missed your menses and the home pregnancy test is negative as on date then the most common cause of delay in menses during this cycle would be stress induced hormonal imbalance however if you are breastfeeding then sometimes irregularity in menses is possible as well next the best thing to do in your case would be to wait for another five days and if no menses then repeat the urine pregnancy test and then if negative again then opt for a transvaginal ultrasound to check for endometrial thickness if the endometrial thickness is more than my then you can opt for a withdrawal bleed with progesterone to resume your menses keep your daily water intake to three to four liters as it is the best anti oxidant and de stressor considering your disturbed sleep pattern this would help regularize cycles naturally maintain a menstrual calendar for the next three months to understand your fresh pattern of bleeding and if no change and this being a singular episode then no apparent need for any medications for regularization of cycles would be required