Help!

So I have been having cramps threw out the day and they seem worse at night I haven't had my period yet should be soon if not I'm already late I say that because I've been off depo for years now and my cycle is still off sometimes. What could be wrong? I'm also have back pains to threw out the whole day? Should. Be worried? Is it pregnancy or something serious?

[Dr. Kokil Mathur]

Hi!
Wait until the maximum number of days after which you have had a period in the past. If you still do not get them, take a pregnancy test, preferably a blood HCG estimation as this is more reliable. If this is negative, it is best to consult a gynecologist and find out why you have irregular periods. High level of stress, dramatic changes in your life style, high cholesterol, hormonal imbalance as seen in thyroid problems and PCOS, chain smoking, may be some of the common causes of your irregular periods. Cushing’s disease and disorders of adrenal gland, tumors of the ovaries and adrenals, insulin resistance and obesity are some of the other factors. Prolonged use of oral contraceptive pills is another cause. Other important local causes of irregular periods are PCOS and fibroid uterus. PCOS causes cysts to form on the ovaries, interfering with regular ovulation. Diagnosis is by blood tests like blood insulin levels, serum testosterone and androgen levels and by ultrasound. I sincerely advice you to consult a gynecologist and get it evaluated. Take care!