Delayed Menstruation: When to Seek Treatment? - Obstetrics and Gynecology

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Delayed menstruation?


About three to four months ago, I experienced a delayed menstrual period.
At that time, I went for an examination and received a medication to induce menstruation, after which my period returned.
For the following two to three months, my menstrual cycle was regular (approximately 31-32 days).
However, this time my period is delayed again (today marks 38 days).
I took pregnancy tests on day 27 and day 30, both showing a single line! This month, I also haven't experienced any breast or abdominal tenderness, and my basal body temperature hasn't increased.
I would like to ask, if I wait a few more days and my period still doesn't come, do I have to take medication to induce menstruation (or receive an injection)? If I don't take anything, is there a chance that I will naturally ovulate and get my period next month? (I was thinking if my period doesn't come next month, I will go to the hospital for an examination.) Thank you.

Hannah, 20~29 year old female. Ask Date: 2016/05/06

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, your period can be delayed for 1 to 2 weeks.
If your period does not arrive, it is recommended to see a gynecologist.
Wishing you good health.

Reply Date: 2016/05/06

More Info


Delayed menstruation can be a source of concern for many women, especially when it becomes a recurring issue. In your case, it seems you have experienced a delay in your menstrual cycle after having previously received treatment to induce menstruation. You mentioned that your cycles were regular for a few months following that treatment, but now you find yourself waiting for your period again, with a current delay of 38 days.
First and foremost, it’s important to understand that menstrual cycles can vary due to a multitude of factors, including stress, changes in weight, hormonal imbalances, and underlying health conditions. The fact that you have tested negative for pregnancy twice is a good indication that pregnancy is not the cause of your delayed menstruation. However, it is still essential to monitor your symptoms and any changes in your body.

If your period does not arrive soon, you may wonder whether you should take medication to induce menstruation or wait it out. Generally, if you have a history of irregular cycles or if this delay is unusual for you, it might be wise to consult with a healthcare provider before taking any medication. Inducing menstruation with hormonal treatments can sometimes mask underlying issues that may need to be addressed.
In many cases, if you do not experience any significant symptoms such as severe pain, heavy bleeding, or other concerning signs, it may be reasonable to wait a little longer to see if your body will naturally regulate itself. The menstrual cycle can sometimes be influenced by factors such as stress or lifestyle changes, and it is possible that your body may return to its normal rhythm without intervention.
If you choose to wait and your period does not come by the next month, it would be advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include blood tests to check hormone levels, an ultrasound to assess the reproductive organs, or other diagnostic tests to rule out conditions such as polycystic ovary syndrome (PCOS) or thyroid issues.

In summary, while it is understandable to feel anxious about a delayed period, especially after having experienced irregularities in the past, it is essential to approach the situation thoughtfully. If your period does not arrive soon, consider consulting with a healthcare professional rather than self-medicating. They can provide guidance tailored to your specific situation and help ensure that any underlying issues are addressed appropriately. Remember, your menstrual health is an important aspect of your overall well-being, and seeking professional advice is always a prudent choice when in doubt.

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