Delayed Period for Almost a Week: Should I Worry About Pregnancy?

Menstruation is delayed by almost a week?

Hello, doctor.
I previously took oral contraceptives for about six months, and after stopping them four months ago, my menstrual cycle has been occurring approximately every 30 to 35 days.
However, this month, it has been nearly 40 days without a period.
I have noticed that my discharge is quite thin and has a stronger odor, similar to the onset of menstruation, and I often feel bloated in my lower abdomen.
I have had protected sexual intercourse, and two weeks ago, I experienced a yeast infection, which has since been treated.
I don't believe it is a recurrence.
Should I go to the hospital to check for pregnancy or to receive a menstrual induction injection?

Niming, 20~29 year old female. Ask Date: 2017/03/21

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Hello, doctor.
I previously took emergency contraceptive pills for about six months, and after stopping four months ago, my menstrual cycle has been occurring approximately every 30 to 35 days.
However, this month it has been nearly 40 days without a period.
My discharge is quite thin and has a stronger odor, similar to the onset of menstruation, and I often feel bloated in my lower abdomen.
I have had protected sexual intercourse, and two weeks ago I experienced a yeast infection, which has been treated, so it shouldn't be a recurrence issue.
Should I go to the hospital to check for pregnancy or to receive a menstrual induction injection? Answer: Yes, you should go to the hospital to check for pregnancy or to receive a menstrual induction injection.

Reply Date: 2017/03/21

More Info

When facing a delayed period, especially after a history of contraceptive use, it’s natural to feel concerned about the possibility of pregnancy. In your case, with your menstrual cycle typically ranging from 30 to 35 days and now approaching 40 days without menstruation, it is indeed prudent to consider the potential for pregnancy, even if you have been using condoms during sexual intercourse.

Firstly, it’s important to understand that after discontinuing hormonal contraceptives, your body may take some time to readjust to its natural hormonal rhythms. This adjustment period can sometimes lead to irregularities in your menstrual cycle, including delays. However, a delay of more than a week, especially when it exceeds your usual cycle length, warrants further investigation.

Given that you have experienced a yeast infection recently, it’s good to note that while such infections can cause discomfort and unusual discharge, they typically do not directly affect your menstrual cycle. The symptoms you describe, such as the heavy discharge and abdominal bloating, could be attributed to hormonal fluctuations, but they could also indicate other underlying issues, including the possibility of pregnancy.

To address your concerns, here are a few steps you should consider:
1. Pregnancy Test: The first and most straightforward step is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. If you take the test after your period is late, it should provide an accurate result. If the test is positive, you should schedule an appointment with your healthcare provider for further evaluation.

2. Consult Your Doctor: If the home pregnancy test is negative and your period still does not arrive, it would be wise to consult your healthcare provider. They may recommend further testing, such as a blood test to measure hCG levels or an ultrasound to check for any abnormalities in the reproductive organs. This is particularly important if you experience any additional symptoms, such as severe pain or unusual bleeding.

3. Consider Hormonal Factors: If pregnancy is ruled out, your doctor may explore other factors that could be affecting your menstrual cycle. These can include stress, significant weight changes, or hormonal imbalances. Sometimes, a simple hormonal imbalance can lead to a delayed period, and your doctor may suggest treatments to help regulate your cycle.

4. Monitoring Symptoms: Keep track of any additional symptoms you may experience, such as changes in mood, appetite, or physical discomfort. This information can be helpful for your healthcare provider in diagnosing the issue.

5. Lifestyle Factors: Consider any recent changes in your lifestyle that may contribute to stress or hormonal fluctuations. Factors such as diet, exercise, and sleep can all play significant roles in menstrual health.

In conclusion, while a delayed period can be concerning, it is essential to approach the situation with a clear plan. Start with a home pregnancy test, and if necessary, follow up with your healthcare provider for further evaluation. Remember, your health and well-being are paramount, and addressing any concerns early on can lead to better outcomes.

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