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49 years old and my period is 8 days late

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I am 49 years old and my period is 8 days late. I have swollen and tender breasts (the nipples are painfully sore), nausea (only at night), good sexual appetite, bloated, headache, retaining water, craving sugar, very constipated, mild discharge, onset of very bad acne (which even during my other 3 pregnancies, I have never had an acne problem), I am not urinating frequently, tired, but not moody. I have no sign of getting my period and I took a pregnancy (a $4.00 generic test) test about 3 days ago at 9:30 at night and it was negative. I dont want to keep spending money on pregnancy tests- if I dont need to, could this be the onset of menopause? About 4 months ago I had gotten a complete hormonal workup and the results were that my hormone levels were way up there, meaning the Doctor was surprised since I was 49 that I wasn't even showing hormonal charateristics of being in perimenopause. (I had mono and couldnt get past the fatigue- they thought it was menopause) last period 12/5/10

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replied January 11th, 2011
Am I Pregnant Answer A18377
Hi, and thanks for your medical question on eHealth forum!

Instead of doing another urine pregnancy test, go for a blood pregnancy test to measure HCG levels in blood. If this too is negative then other causes of delayed or missed periods will have to be looked at such as stress whether emotional or physical, hypothyroidism, polycystic disease of the ovary, pituitary tumors secreting prolactin, anemia and poor diet, hormonal imbalance, unexplained or sudden weight gain or weight loss.

You will need to consult a gynecologist for this. Needless to say, at your age, it is possible that all the symptoms are due to premenopause or menopause. Still it would be good to confirm. Hope this helps. Take care!

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