Delayed menstruation?
Hello doctor, my menstrual cycle has consistently been 5 days before the end of the month.
However, in February this year, it was shorter, which caused it to extend into early March.
Now, it is early April, and my period still hasn't arrived.
My basal body temperature is slightly elevated, my mood has been lower, and my discharge is thick and sticky.
Is this a sign that my period is coming soon?
Juzi, 10~19 year old female. Ask Date: 2016/04/03
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle or cause bleeding outside of menstruation are numerous, including environment, lifestyle, stress, emotional instability, diet, age, lesions in the uterus or cervix, pregnancy, and more.
It is advisable to consult a gynecologist to determine whether it is due to hormonal imbalance or other reasons.
Thank you! Wishing you peace and health.
Dr.
Chang
Reply Date: 2016/04/03
More Info
Delayed menstruation can be a concerning issue for many individuals, and understanding the symptoms and what to expect can help in managing the situation. Based on the information provided, it seems you have experienced a change in your menstrual cycle, which can be influenced by various factors.
Firstly, it’s important to note that a normal menstrual cycle typically ranges from 21 to 35 days, with variations being common. If your cycle has been consistently regular and you are now experiencing a delay, it could be due to several reasons, including stress, hormonal imbalances, changes in weight, or even underlying health conditions.
The symptoms you mentioned—elevated body temperature, low mood, and thick, sticky discharge—can be indicative of several things. Elevated body temperature can sometimes be associated with ovulation or hormonal changes. If you are experiencing a higher basal body temperature, it could suggest that your body is preparing for menstruation, as the luteal phase (the time between ovulation and the start of your period) is characterized by increased progesterone levels, which can raise your body temperature.
Low mood and emotional changes can also be linked to hormonal fluctuations. Many individuals experience premenstrual syndrome (PMS) symptoms, which can include mood swings, irritability, and emotional sensitivity. The thick, sticky discharge you described could be related to hormonal changes as well, particularly if you are approaching ovulation or menstruation.
Given that your period has not arrived by early April, it may be beneficial to consider a few steps:
1. Pregnancy Test: If there is any possibility of pregnancy, taking a home pregnancy test can provide clarity. A missed period is one of the earliest signs of pregnancy.
2. Monitor Symptoms: Keep track of your symptoms, including any changes in discharge, mood, or physical sensations. This information can be helpful for your healthcare provider.
3. Consult a Healthcare Provider: If your period does not arrive soon or if you have concerns about your symptoms, it is advisable to consult with a healthcare provider. They can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly imaging studies if needed.
4. Lifestyle Factors: Consider any recent changes in your lifestyle that may have affected your menstrual cycle. Stress, significant weight loss or gain, changes in exercise routines, or dietary changes can all impact your cycle.
5. Patience: Sometimes, menstrual irregularities resolve on their own. If you are otherwise healthy and not experiencing severe symptoms, it may be worth waiting a little longer to see if your cycle normalizes.
In summary, while the symptoms you are experiencing could suggest that your period is approaching, they could also indicate other hormonal changes or conditions. Monitoring your symptoms and consulting with a healthcare provider will be the best course of action to ensure your reproductive health is managed appropriately.
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