Missed Period and Abdominal Pain: Your Symptoms

Menstruation has not arrived, but there has been lower abdominal pain for three days?

Hello, my period has been delayed.
The last time it came was on December 7th, and it lasted for ten days with intermittent bleeding, but the amount was less than usual (the blood color wasn't very dark, and I noticed some blood clots).
It's strange because my menstrual cycle is not very regular, usually varying by about five days.
Each time it lasts about six days before stopping.
I had my period on November 6th for nine days and on December 7th for ten days, and the flow has been decreasing each time.
I have been staying up late almost every day, and in the past six months, I have taken a lot of medication and antibiotics due to health issues like tooth pain and swollen lymph nodes.
I had sexual intercourse a few times last week, and my partner only used a condom at the end.
I have searched a lot of related information online, which has made me very worried about the possibility of pregnancy.
Therefore, I took a pregnancy test yesterday, and the result was negative.
I experienced mild diarrhea the day before yesterday and yesterday (I usually have this symptom before my period).
However, the acne on my face is not as severe as before.
For the past three days, I have felt some mild pain in my lower abdomen, similar to menstrual cramps, but my period still hasn't arrived.
I'm really worried, but I'm hesitant to see a gynecologist, unsure if it's too early or too late for an accurate pregnancy test, or if it's related to taking too much medication, my lifestyle, or changes in the weather affecting my body...
Recently, some friends around me have been diagnosed with polycystic ovary syndrome, and I'm also concerned that I might have it too...
(but I haven't gained significant weight recently).

ni, 20~29 year old female. Ask Date: 2017/01/11

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances of pregnancy are low, but it is best to take preventive measures at all times and not to rely on the safe period.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2017/01/11

More Info

It sounds like you're experiencing a complex situation with missed periods and abdominal pain, which can be concerning. Let's break down your symptoms and potential causes.

Firstly, your menstrual irregularities, including a missed period and changes in flow, can be attributed to several factors. Stress, lifestyle changes, and health conditions can all impact your menstrual cycle. Given that you've mentioned experiencing stress from illness and medication, these could be significant contributors. Medications, especially antibiotics and hormonal treatments, can disrupt your hormonal balance, leading to changes in your menstrual cycle.

The abdominal pain you're feeling, described as similar to menstrual cramps, could be related to several factors. It might be a symptom of premenstrual syndrome (PMS) or could indicate other conditions such as ovarian cysts, endometriosis, or even gastrointestinal issues, especially since you've mentioned experiencing mild diarrhea recently. The fact that you have had some sexual activity raises the question of pregnancy, but since you've already taken a pregnancy test that came back negative, it may be less likely, although testing too early can sometimes yield false negatives.

Regarding the concern about polycystic ovary syndrome (PCOS), it is characterized by irregular menstrual cycles, excess androgen levels, and polycystic ovaries. While weight gain can be a symptom, not everyone with PCOS is overweight. Other signs include acne, excessive hair growth, and difficulty with weight management. If you have concerns about PCOS, it would be beneficial to consult with a healthcare provider who can perform the necessary evaluations, including blood tests and possibly an ultrasound.

Your lifestyle factors, such as staying up late and the stress from your recent health issues, can also contribute to hormonal imbalances. Sleep deprivation can affect your body's ability to regulate hormones, which in turn can affect your menstrual cycle.
Given the complexity of your symptoms, it would be wise to consult a healthcare provider, preferably a gynecologist, who can conduct a thorough evaluation. They may recommend blood tests to check hormone levels, an ultrasound to assess your ovaries, and possibly other tests to rule out gastrointestinal issues.
In the meantime, consider maintaining a healthy lifestyle by managing stress through relaxation techniques, ensuring adequate sleep, and eating a balanced diet. Keeping track of your menstrual cycle and any accompanying symptoms can also provide valuable information for your healthcare provider.

In summary, while your symptoms could be related to various factors, including hormonal imbalances, stress, and potential underlying conditions, a thorough evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate management. Don't hesitate to seek help; your health is important, and addressing these concerns early can lead to better outcomes.

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