Published on: 4/7/2025
If you've missed 2 months of periods and a pregnancy test is negative, it's important to follow up with your healthcare provider for further evaluation to identify any underlying health issues.
Missing two months of periods with a negative pregnancy test deserves a closer look. First, remember that home pregnancy tests are quite accurate when used correctly, but if you haven’t had a period for two months, it’s time to talk with your doctor. Your healthcare provider can review your medical history, lifestyle changes, and symptoms you might be experiencing. There are several reasons for missed periods aside from pregnancy. Hormonal imbalances, such as thyroid problems or conditions like polycystic ovarian syndrome (PCOS), can cause amenorrhea (the absence of menstruation). Stress, significant weight changes, or intense exercise can also affect your menstrual cycle. Your doctor may order blood tests to check hormone levels and possibly an ultrasound to see how your reproductive organs look. Knowing about any other symptoms—such as changes in weight, energy levels, or mood—can help guide the diagnosis. The goal of these evaluations is to identify any underlying conditions and develop a plan to manage or treat them. Always share your concerns so that you can get the proper support and care for your health.
(References)
Wilcox AJ, Baird DD, Dunson D, McChesney R, Weinberg CR. Natural limits of pregnancy testing in relation to the expected menstrual period. JAMA. 2001 Oct 10;286(14):1759-61. doi: 10.1001/jama.286.14.1759. Erratum in: JAMA 2002 Jan 9;287(2):192. PMID: 11594902.
Gnoth C, Johnson S. Strips of Hope: Accuracy of Home Pregnancy Tests and New Developments. Geburtshilfe Frauenheilkd. 2014 Jul;74(7):661-669. doi: 10.1055/s-0034-1368589. PMID: 25100881; PMCID: PMC4119102.
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