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sick, tender nipples, trouble sleeping but very tired...

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Hi, i'm 16 and I have been having some symptoms of pregnancy. I have been feeling sick, tender nipples, trouble sleeping but feeling very tired, slight headaches and a taste of metal in my mouth. I was last on my period on the 28th January and haven't come on this month. I did a pregnancy test on the Monday (27th February) but it came out negative. I have another pregnancy test but i'm uncertain to use it because if it's negative, i'm worried about what might be wrong with me. My mum has polycystic ovaries and struggled to have me without lots of treatment so i always assumed i had it too but now i'm unsure. Please help

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replied March 2nd, 2012
Early Pregnancy Signs and Symptoms Answer A32300
Welcome to ehealthforum,
Irregular periods and having long gaps between periods could suggest that you have anovulatory cycles (menstrual cycles without release of egg from ovary) which usually occurs during pubertal stages. Other possibilities include PCOS, ovarian suppression, hormonal derangements, etc. The exact cause can only be made out after careful evaluation. Consider visiting your doctor/gynecologist for thorough examination and further evaluation to look for the underlying cause. Treatment as appropriate (based on examination findings and investigations results) would be started to help you regulate your periods.
The symptoms that you describe (feeling sick, tender nipples, sleep disturbances, increased tiredness, headaches, metallic taste in mouth, delayed periods) could suggest possibility of pregnancy. The urine pregnancy tests done very early in pregnancy can show you false negative results as the kits are calibrated ones, so unless the hormone levels in urine reach a certain level, they do not show positive results. Urine pregnancy test kits usually start showing positive results after about 20 days post-conception (roughly corresponding to about 1 week after your missed/altered periods). The test should always be done on early morning first urine sample to get accurate results (pregnancy hormone HCG is believed to be in highest concentration in this sample, and you should avoid lot of fluid intake and caffeinated beverages in the night before taking the test). Look out for development of any other new symptoms if pregnancy is suspected. If periods do not start within 10 days of expected period dates, or if you get abnormal periods, or if you suspect chances of pregnancy, consider visiting your doctor/gynecologist at the earliest for thorough examination (to confirm pregnancy related changes/signs in body) and blood/serum HCG level test (to confirm/rule out pregnancy accurately).
If pregnancy gets ruled out, and if you are not ready for pregnancy, but intend to remain sexually active, you should consider visiting your gynecologist to get started on suitable regular birth control measures to be protected (after your periods). Be regular with birth control use as instructed. Avoid having unprotected sexual contact if you are not ready for pregnancy.
Take care.

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