Delayed Menstruation: When to Wait and When to Seek Medical Advice

Delayed menstruation?

Hello doctor, my last menstrual period started on June 19, with a cycle of about 28-30 days.
I had sexual intercourse in mid-July (with a condom the entire time), and my period has not arrived yet.
I took a pregnancy test on July 21 and got one line, and the same result on July 23.
Should I continue to wait, or should I see a doctor? If the doctor prescribes medication to induce my period, what potential side effects should I be aware of?

EVA, 20~29 year old female. Ask Date: 2017/07/24

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Last month's menstruation started on June 19, with a cycle of approximately 28-30 days.
There was sexual intercourse in mid-July (with condom use throughout).
Currently, menstruation has not yet arrived.
A pregnancy test on July 21 showed one line, and another test on July 23 showed the same result.
Should I continue to wait, or should I seek medical attention? If the doctor prescribes medication to induce menstruation, are there any potential side effects from taking that medication?
Answer: Test for pregnancy again on July 26.
If it shows one line, you can take medication to induce menstruation, which generally does not have significant side effects.

Reply Date: 2017/07/24

More Info

Delayed menstruation can be a source of concern for many women, especially when it comes to understanding the underlying causes and determining when to seek medical advice. Based on your situation, it seems you have a regular menstrual cycle of approximately 28-30 days, and you experienced sexual intercourse in mid-July with protection. Since your period has not arrived as expected, and you have taken two pregnancy tests that returned negative results, it is understandable that you are feeling anxious about the situation.

Firstly, it is important to note that a missed period can occur for various reasons beyond pregnancy, including stress, hormonal imbalances, changes in weight, excessive exercise, or underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Given that you have had negative pregnancy tests, it may be worthwhile to consider these other factors.

In general, if your period is late by more than a week and you have had negative pregnancy tests, it is advisable to wait a few more days to see if your period arrives. However, if you experience any additional symptoms such as severe abdominal pain, unusual discharge, or if your cycle has been consistently irregular, it would be prudent to seek medical advice sooner rather than later.
When you visit a healthcare provider, they may conduct a physical examination and possibly order blood tests to check hormone levels or perform an ultrasound to rule out any underlying issues. If your healthcare provider determines that your delayed menstruation is due to hormonal imbalances, they may discuss treatment options with you, which could include hormonal contraceptives to regulate your cycle.

Regarding the use of medication to induce menstruation, there are options available, such as progestin therapy. However, it is essential to consult with your healthcare provider before taking any medication. They can provide guidance on the appropriate medication and dosage, as well as inform you about potential side effects. Common side effects of hormonal medications can include mood swings, breast tenderness, headaches, and changes in weight.
In summary, while it is reasonable to wait a little longer to see if your period arrives, it is also important to be aware of your body and any additional symptoms you may experience. If you have concerns or if your period does not arrive soon, seeking medical advice is a wise decision. Your healthcare provider can help you navigate this situation and determine the best course of action for your health. Remember, open communication with your doctor is key to addressing any concerns you may have about your menstrual health.

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