Delayed Menstruation: Causes and Concerns for Women

Q: Delayed Menstruation: Causes and Concerns for Women

Hello, Sister Xiaolin： If your menstruation has not arrived as scheduled, it is considered menstrual irregularity. <br>The regularity of menstruation can be easily affected by personal emotional stress, lifestyle, medications, and diet, leading to delayed or early onset of menstr

Menstrual delay

Hello, doctor! Last month, around July 10th, I had sexual intercourse with my boyfriend, but we didn't penetrate because I was afraid of pain.
After that, since we were going on a trip, I took medication to induce my period, which started on July 25th and lasted for three days with heavy flow.
I had regular gynecological check-ups around August 10th, and everything was fine.
However, I haven't gotten my period this month yet.
Last Friday, I visited a traditional Chinese medicine practitioner who said he felt a pulse indicating that my period is about to come.
Recently, I've been experiencing bloating and irregular bowel movements, so I consulted an internist who mentioned that my uterus is larger than normal for someone who is not pregnant.
He asked if my menstrual flow is usually heavy.
However, my period still hasn't arrived, and I've been feeling a bloated sensation in my lower abdomen, as if my period is about to start but hasn't.
Is this normal?

Xiao Lin, 20~29 year old female. Ask Date: 2016/08/30

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello, Sister Xiaolin: If your menstruation has not arrived as scheduled, it is considered menstrual irregularity.
The regularity of menstruation can be easily affected by personal emotional stress, lifestyle, medications, and diet, leading to delayed or early onset of menstruation.
The feeling of bloating in the lower abdomen, with menstruation being uncertain, is quite common during menstrual irregularities.
I suggest you wait another week; if your period still does not come, you can take a urine test.
If you are not pregnant, then you may consider taking medication to induce menstruation.

Reply Date: 2016/08/30

More Info

Delayed menstruation can be a source of concern for many women, especially when it occurs unexpectedly. In your case, there are several factors to consider that could explain the delay in your menstrual cycle.
Firstly, it’s important to note that menstrual cycles can be influenced by a variety of factors, including hormonal fluctuations, stress, lifestyle changes, and underlying health conditions. Given that you have recently taken medication to induce menstruation and have had a history of heavy menstrual flow, it is possible that your body is still adjusting to these changes. Hormonal imbalances can lead to irregularities in your menstrual cycle, which may manifest as delayed periods.

You mentioned that you had sexual intercourse on July 10 and subsequently took medication to induce your period, which arrived on July 25 and lasted for three days. The use of hormonal medications can sometimes disrupt your natural cycle, leading to delays in subsequent periods. It’s also worth noting that the body can take time to recalibrate after such interventions, which could explain why your period has not yet arrived this month.

Additionally, you mentioned experiencing gastrointestinal issues, such as bloating and constipation. Digestive health can significantly impact overall well-being, including menstrual health. Stress and discomfort in the digestive system can lead to hormonal changes that may delay menstruation. The connection between the gut and hormonal balance is well-documented, and gastrointestinal distress can sometimes lead to menstrual irregularities.

Another factor to consider is the potential for stress. Emotional and physical stress can have a profound impact on the menstrual cycle. If you have been experiencing increased stress or anxiety, this could also contribute to the delay in your period. Stress can affect the hypothalamus, the part of the brain that regulates hormones related to the menstrual cycle.

You also mentioned that a traditional Chinese medicine practitioner felt a pulse indicating that your period was on its way. While traditional practices can provide insights, it’s essential to combine these observations with medical evaluations. If your period does not arrive soon, it may be beneficial to consult with a healthcare provider for further evaluation. They may recommend blood tests to check hormone levels, as well as an ultrasound to assess the condition of your uterus and ovaries.

In summary, delayed menstruation can arise from a combination of factors, including hormonal imbalances, stress, lifestyle changes, and gastrointestinal health. If your period does not arrive soon, or if you experience additional symptoms such as severe pain or unusual discharge, it is advisable to seek medical attention. Regular check-ups with a gynecologist can help monitor your menstrual health and address any concerns you may have. Remember, it’s essential to listen to your body and seek help when something feels off.

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