### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i think i could be pregnant i have changed from the injection to the pill and i got told that i could get pregnant in that week , the next day me and partner had sex and the condom split, i have had signs of pregnancy like sore nipples even around my nipple have darkened , they have also fatened out they havent gone up a size but they have become move wider and heaviler, i came off my pill after 21 days for my break , i came on 6 /7 days after i had stopped takinging it which is not normal for me its usually about 2 days after. i came on with really bad cramps and slighty heavy bleeding, i still had pregnancy signs. i came off after 4 days which is unusual my cycle usually lasts 7 days are 8, my signs have got worse and i find myself having to sit down and for water and fresh air as i have been going really dizzy and going really sick and it does on and off through the days . i also keep getting strong headakes which i rearly get, i have taken for test 2 before the period and 2 after and all negative , im getting more bloated and going for my tollet breaks depending on the day, i dunno if its in my head are what but i have worked out id be 7-8 weeks pregnant if i am help ??

### output:

Hallow Dear, Even 2 months after the missed period if your pregnancy tests are negative, I would have otherwise written off the case as no pregnancy. Soreness of the breasts can happen due to many other causes which includes rough handling also. All other symptoms like headache, bloating, fatigue are not pertinent to pregnancy. However, darkening of the nipples and areola with areolar widening makes me consider that you may be pregnant. You have two alternatives for diagnosing the condition:1. Go for Beta Chat Doctor test. This is very specific and sensitive test which gives reliable results even few days before missed period. 2. Get ultrasonography done. By this time, it will give direct visual evidence of pregnancy. Moreover, if you are not pregnant, it will help to look for any evidence of Polycystic Ovaries (PCs). PCs is known to delay menstrual cycle for considerable time. When the periods start, they are usually very heavy. If you are diagnosed non-pregnant, please undergo investigations for finding out the underlying condition. Blood examination for Prolactin, FSH & LH would be important. Since you are having headache, Prolactin values will be important. If they are raised, they lead to breast secretions. Then X-ray of the head will try to see whether you have got pituitary tumor. Usually this can be treated with Tab. Bromocryptine. Get Thyroid function also assessed. Thyroid dysfunction does alter the regularity of the menses. The symptoms like lethargy, fatigue, etc. may be attributed to low Thyroid functioning. Please have a consideration of your body-mass index. In PCs as well as Hypothyroid condition, BMI is raised. Try to maintain it between, 18.5 to 24.9. I would request you not to depend only on urine pregnancy test and undergo more investigations. Please report to you Gynecologist. 