Doctor, I missed my period!!!

This is a common presentation to my clinic.  My response will depend on the age of my patient and her intention.  She is most probably pregnant or one who is approaching menopause. It could also be some drug (medication) side-effect.  There are also other gynae causes for ‘missed period’, which I will write some time later.

Working as an O&G specialist in Puchong, with a relatively young and growing population, pregnancy is still the commonest diagnosis for “missed period”.  For this group of women, they come to confirm their pregnancy. Many have come with prior positive test on the urine pregnancy kit. A pelvic ultrasound scan will normally bring glow and joy to these mothers to be.

Most women will come with their spouse, especially if this is their first child.  The concerned husband will listen attentively as the excited mom shares her early pregnancy symptoms.  I usually let them to clear their doubts, proceed to discuss the 9- month  journey towards becoming  the super “Mom & Dad” and not forgetting  the long list of do’s and don’ts during this critical time.

My most important message is that during the first 3 months (first trimester), the fetus develops rapidly. It is the most vulnerable period as it is proned to malformation caused by teratogen (factors that derail fetal development).  Although most women will sail through this period without any untowards incident, some may encounter vaginal bleeding.  The first three months is a critical time to determine if the pregnancy will continue or otherwise.   The would be “Mom and Dad” leave my clinic with feelings of joy, and ready to brave through the sea of  uncertainty.

Early Pregnancy, a time of sheer joy & uncertainty

See also “Pregnancy and Baby” section for diagnosis of pregnancy, how to calculate your due date. importance of ultrasound scan. Or click here

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Author: Dr Ng Soon Pheng

Dr. Ng Soon Pheng MD(USM), M.Med (O&G), Fellow Reprod Medicine (Singapore), AM (Mal) Dr. Ng Soon Pheng qualified from University Kebangsaan Malaysia (UKM), Malaysia. After obtaining his post graduate degree, Dr. Ng Soon Pheng continued his clinical fellowship training in the field of IVF in Singapore. He was also the recipient of Yayasan Sultan Iskandar (Johor) Scholarship for the fellowship stint. Dr. Ng Soon Pheng has more than 10 years of working experience in the field of Obstetrics and Gynaecology in the public and university hospital, with special interests in infertility. He was an Associate Professor with the Department of O&G in Universiti Kebangsaan Malaysia (UKM) specialising in infertility. Dr. Ng Soon Pheng is currently Consultant Obstetrician and Gynaecologist with special interests in infertility at Columbia Asia Hospital - Puchong.