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After not having 2 periods in a row (was on birth control at the time), I took a HPT (negative). Waiting another month, nothing... went to my OB/GYN, we stopped my pill... nothing after 2 months. She gave me Provera challenge (take for prescribed amount of time, and should get a withdrawal bleed) which didn't work and then a Prometrium challenge (again, didn't produce menses). I then had an MRI which showed a pituitary tumor - I had off and on for the past 3-4 years had slightly high levels of prolactin, but nothing too out of whack (or it always went back to normal for a repeat blood test). I haven't had a period since December 2008...
Now, the MOST interesting part of all of this is that - still no period - was having some cramping (pretty bad at times) and, because severe cramping was what prompted me to seek treatment and find out I was pregnant with my son 5 years ago - I just thought, who knows? Maybe I should take a pregnancy test. Both have been positive - 2nd one more evident than the 1st - but I'm worried about it being a big tease/let down.
If you haven't had a period for several months - especially if you are experiencing abdominal distention or firmness - GET CHECKED OUT!!! Especially if you are, in fact, pregnant - insufficienct HCG levels could be a problem (and producing negative pregnancy tests), but there are so many other things that could be going on. By 4 months wouldn't you have been starting to receive prenatal care anyway? Your physician or midwife would be able to verify your pregnancy status or address something else that could be causing your symptoms.
Good luck! I hope this helped.

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