What are the reasons for delayed menstruation, breast tenderness, and lower back pain?

Patient's question:

Hello, what is the reason for delayed menstruation, breast tenderness, and lower back pain? I am 29 years old, and I don't have a lot of sexual activity, usually having one time a week occasionally.

Doctor's answer:

Menstruation is delayed, and there is breast tenderness and lower back pain. In such cases, the first thing to consider is pregnancy, especially if there has been sexual activity once a week. In such situations, the possibility of pregnancy is relatively high. It is generally recommended to buy a pregnancy test kit for testing. If the delay is less than seven days, it is also possible to have blood tests done at the hospital.

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