13 Days Late: What to Do When Your Period Doesn't Arrive

Menstruation is delayed by 13 days?

My period usually arrives on the 10th of each month, but this month it is already the 22nd and it hasn't come yet.
I haven't had any sexual intercourse.
Should I continue to wait?

Jing, 10~19 year old female. Ask Date: 2016/04/22

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including environment, lifestyle, stress, emotional instability, diet, age, and lesions of the uterus or cervix, among others.
It is advisable to consult a gynecologist to determine whether the cause is hormonal imbalance or another issue.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2016/04/22

More Info

When your period is late, especially if it has been 13 days since your expected date, it can be concerning. First, it's important to note that menstrual cycles can vary for many reasons, including stress, changes in weight, hormonal imbalances, or underlying health conditions. Since you mentioned that you have not engaged in sexual activity, the likelihood of pregnancy is low, but it is still essential to consider other factors that could affect your cycle.

Here are some steps you can take:
1. Take a Pregnancy Test: Even if you believe pregnancy is unlikely, taking a home pregnancy test can provide clarity. These tests are generally accurate if taken after your missed period. If the test is negative and your period still does not arrive, it may be time to consider other factors.

2. Monitor Symptoms: Pay attention to any other symptoms you may be experiencing, such as cramping, bloating, or changes in mood. These can provide clues about what might be happening with your body.

3. Consider Stress and Lifestyle Factors: Stress is a significant factor that can delay your period. Consider any recent changes in your life, such as increased workload, emotional stress, or changes in your daily routine. Additionally, significant changes in diet or exercise can also impact your menstrual cycle.

4. Wait a Little Longer: If your pregnancy test is negative and you are not experiencing any concerning symptoms (like severe pain or heavy bleeding), it may be advisable to wait a little longer. Sometimes, periods can be delayed for a variety of benign reasons.

5. Consult a Healthcare Provider: If your period does not arrive within a week or two after taking a pregnancy test, or if you have any concerning symptoms, it is wise to consult a healthcare provider. They can perform a more thorough evaluation, which may include blood tests or imaging studies, to determine the cause of your missed period.

6. Keep a Menstrual Diary: Tracking your menstrual cycle can help identify patterns over time. Note the dates of your periods, any symptoms, and lifestyle changes. This information can be valuable for your healthcare provider.

7. Understand Possible Conditions: There are several medical conditions that can cause missed periods, such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances. A healthcare provider can help diagnose and manage these conditions.

In summary, while it can be stressful to experience a late period, there are several steps you can take to address the situation. Taking a pregnancy test, monitoring your symptoms, considering lifestyle factors, and consulting a healthcare provider if necessary are all important steps. Remember that menstrual cycles can be influenced by a variety of factors, and it is essential to listen to your body and seek help if you have concerns.

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