Delayed Menstruation: What to Do When Your Period is Late - Obstetrics and Gynecology

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Missed menstruation?


Three months ago, I had intimate contact with my boyfriend, but when I previously asked about the chances of pregnancy, you said the likelihood was low.
I had my period in June and July, and since that intimate encounter three months ago, we haven't been intimate again.
However, my period in August was delayed by seven days and still hasn't arrived.
What could be the issue, and what should I do?

Baobao, 10~19 year old female. Ask Date: 2017/08/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Three months ago, I had intimate contact with my boyfriend, but when I previously asked about the chances of pregnancy, you said the likelihood was low.
I had my period in June and July, and we haven't been intimate since that encounter.
However, my period in August is now 7 days late.
What could be the issue, and what should I do?
Answer: A delay of 7 days in your August period may indicate a hormonal imbalance.
If your period is delayed by 14 days, you may consider seeking treatment to induce menstruation.

Reply Date: 2017/08/22

More Info


When dealing with a delayed menstruation, especially after a recent sexual encounter, it's important to consider several factors that could contribute to this situation. Based on your description, it seems that you had a sexual encounter three months ago, and while you experienced your menstrual cycle in June and July, your period has been delayed for a week in August.
First and foremost, it's essential to rule out pregnancy, even if the likelihood seems low based on previous discussions. The best course of action is to take a home pregnancy test. These tests are widely available, easy to use, and can provide results within minutes. If the test is positive, it would be advisable to schedule an appointment with a healthcare provider to discuss your options and next steps. If the test is negative, there are other factors to consider that could explain the delay.

Menstrual cycles can be affected by a variety of factors, including stress, changes in weight, hormonal imbalances, and underlying health conditions. Stress, in particular, can significantly impact your menstrual cycle. If you've been experiencing increased stress or anxiety, this could be a contributing factor to your delayed period.
Additionally, significant changes in your lifestyle, such as diet, exercise, or sleep patterns, can also affect your menstrual cycle. For instance, excessive exercise or sudden weight loss can lead to missed periods. Conversely, weight gain can also disrupt hormonal balance, leading to irregular cycles.

If your period does not arrive within a few days after taking a pregnancy test, or if you experience other symptoms such as severe pain, unusual discharge, or any other concerning signs, it would be wise to consult a healthcare professional. They can perform a more thorough evaluation, which may include blood tests or imaging studies, to determine the underlying cause of your delayed menstruation.

In summary, here are the steps you should take:
1. Take a Home Pregnancy Test: This is the first step to rule out pregnancy.

2. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as pain, changes in discharge, or other unusual signs.

3. Consider Lifestyle Factors: Reflect on any recent changes in your life that could be affecting your menstrual cycle, such as stress, diet, or exercise.

4. Consult a Healthcare Provider: If your period does not arrive soon or if you have any concerning symptoms, seek medical advice for a comprehensive evaluation.

Understanding your body and its rhythms is crucial, and while occasional delays can happen, persistent irregularities should be addressed with a healthcare professional to ensure your overall health and well-being.

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