Delayed Menstruation: Causes and Concerns for Women - Obstetrics and Gynecology

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Delayed menstruation?


Hello, doctor.
My last menstrual period started on May 16.
I had protected intercourse (with penetration) two days before my period.
My period lasted for 9 days, with the first 4 days being light spotting and the last 5 days having a normal flow.
Today is June 17, and my period has not yet arrived.
On the 15th, I inserted my finger into my vagina, but there was no ejaculation inside.
What could be the situation?

Nìmíng, 10~19 year old female. Ask Date: 2017/06/17

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The last menstrual period started on May 16.
There was protected intercourse (with penetration) two days before the period began.
The period lasted for 9 days, with the first 4 days having only light spotting and the last 5 days having a normal flow.
Today is June 17, and the period has not yet arrived.
On the 15th, there was digital penetration, but no ejaculation occurred inside the vagina.
What could be the situation, doctor? Answer: It is likely not a pregnancy.

Reply Date: 2017/06/17

More Info


Delayed menstruation can be a source of concern for many women, especially when it occurs unexpectedly. In your case, with your last menstrual period starting on May 16 and now being June 17 without any signs of menstruation, it is understandable to seek clarity on the situation.
Firstly, it is important to consider the various factors that can contribute to a delay in menstruation. The menstrual cycle can be influenced by a range of physical, emotional, and lifestyle factors. Stress, significant changes in weight, excessive exercise, hormonal imbalances, and even changes in your environment can all play a role in altering your cycle.
In your situation, you mentioned having sexual intercourse two days prior to your last period, and while you used a condom, it is still important to consider the possibility of pregnancy, albeit low. The fact that you experienced a period, albeit with lighter flow initially, suggests that you may not be pregnant, but it is not entirely ruled out. Pregnancy tests can provide clarity, and they are most accurate when taken after a missed period.

Additionally, the act of inserting fingers into the vagina, as you mentioned, does not typically affect your menstrual cycle unless there was a risk of introducing an infection or causing physical trauma, which is unlikely in this context.
Another factor to consider is the possibility of hormonal fluctuations. As women approach their late 30s and into their 40s, they may begin to experience perimenopause, which can lead to irregular cycles and changes in menstrual patterns. However, at 48 years old, while it is possible that you are approaching menopause, it is not a definitive conclusion based solely on a delayed period.
If you have been experiencing other symptoms such as hot flashes, night sweats, or mood changes, these could be indicative of hormonal changes associated with perimenopause. However, if you are not experiencing these symptoms, it may be more likely that your delayed menstruation is due to other factors such as stress or lifestyle changes.

In summary, while a delayed period can be concerning, it is essential to consider the broader context of your health and lifestyle. If your period does not arrive soon, or if you experience any unusual symptoms such as severe pain or unusual discharge, it would be advisable to consult with a healthcare provider. They may recommend blood tests to check hormone levels or other assessments to determine the underlying cause of your delayed menstruation.
In the meantime, maintaining a healthy lifestyle, managing stress, and ensuring you have a balanced diet can help regulate your menstrual cycle. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice and support.

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