Delayed Menstruation: What to Do When It's 9 Days Late - Obstetrics and Gynecology

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The menstrual period is nine days late?


Hello doctor, my menstrual cycle is usually regular and should have started on the 23rd.
It typically only delays by 3 to 4 days at most, but today it is already 9 days late and I still haven't gotten my period.
I went to the gynecologist two days ago, and they said I am not pregnant and prescribed me medication to induce my period.
I have been taking it for two days but still haven't gotten my period.
I would like to ask if it is accurate to take a pregnancy test after being 7 days late? Is it possible that it might not show up yet?

Yiwun, 10~19 year old female. Ask Date: 2016/04/01

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, there is currently no emergency situation.
I recommend that if you do not get your period in another week, you should return for a follow-up appointment.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2016/04/01

More Info


Delayed menstruation can be a source of concern for many women, especially when it deviates from their regular cycle. In your case, experiencing a delay of nine days is indeed significant, particularly if your menstrual cycle is typically regular and only experiences minor delays of a few days.
When it comes to understanding the reasons behind a delayed period, there are several factors to consider. Stress, hormonal imbalances, changes in weight, excessive exercise, and underlying health conditions can all contribute to menstrual irregularities. In your case, since you have already consulted with a gynecologist and confirmed that you are not pregnant, it is essential to explore other potential causes.

Regarding your question about the accuracy of pregnancy tests, it is important to note that most home pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin) in urine, which is typically produced after a fertilized egg implants in the uterus. If you took the test before your expected period or very early in your pregnancy, there is a possibility of a false negative result. However, since you mentioned that you have already taken a pregnancy test and received a negative result, it is likely that you are not pregnant.

The gynecologist's recommendation to take medication to induce menstruation is a common approach when there is a delay without pregnancy. These medications, often hormonal in nature, can help to regulate your cycle and bring on your period. It is not unusual for it to take a few days for the medication to work, so patience is key. If you have been taking the medication for two days and have not yet seen any results, it may still be too early to expect a response.

If your period does not arrive after completing the course of medication, or if you experience any unusual symptoms such as severe pain, heavy bleeding, or other concerning signs, it is crucial to follow up with your healthcare provider. They may want to conduct further evaluations, such as blood tests to check hormone levels, or imaging studies to rule out any anatomical issues.

In summary, while a delay of nine days can be concerning, it is essential to consider the context of your overall health and any recent changes in your life. Since you have already consulted with a healthcare professional and are following their advice, you are on the right track. If your period does not resume or if you have further concerns, do not hesitate to reach out for additional medical advice. Regular follow-ups with your gynecologist can help ensure that any underlying issues are addressed promptly, allowing you to maintain your reproductive health.

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