Irregular Periods: When to Seek Medical Advice

Abdominal discomfort, delayed menstruation, and had taken menstrual regulation medication for the past two months?

Hello, Doctor.
My menstrual cycle has usually been around 32 days, but in March and April of this year, it extended to nearly 50 days without menstruation.
After seeing a doctor, I took medication to induce menstruation.
In June and July, I took ovulation medication to regulate my cycle, but after my period on July 25, I did not continue taking the ovulation medication (I only took it for two months).
Now, my period still hasn't come, and I have had sexual intercourse this month with protective measures.
I prefer not to keep taking medication to induce menstruation, as I have heard that it can be harmful to the body.
Should I wait for my period to come naturally, or should I see a doctor again for medication to induce menstruation? Additionally, I would like to know why my period has suddenly stopped, as there have been no significant changes in my lifestyle or stress levels.
Should I undergo any tests? Thank you, Doctor.

jia, 20~29 year old female. Ask Date: 2017/09/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

My menstrual cycle is usually around 32 days, but in March and April of this year, it was almost 50 days without a period.
After seeing a doctor, I took medication to induce menstruation.
In June and July, I took ovulation medication to regulate my cycle, but after my period on July 25, I did not continue taking the ovulation medication (only took it for two months).
Now, my period still hasn't come, and I had sexual intercourse this month with protection.
I do not want to keep taking medication to induce menstruation, as I have heard that it is not good for the body.

1.
Should I wait for my period to come naturally, or should I see a doctor again for medication to induce menstruation?
Answer: Inducing menstruation can be done once every three months.
2.
Why has my period suddenly stopped coming, especially since there have been no significant changes in my lifestyle or stress levels? Should I undergo any tests?
Answer: An ultrasound and blood tests to check hormone levels are recommended.

Reply Date: 2017/09/05

More Info

Irregular periods can be concerning for many women, especially when there is a noticeable change in the menstrual cycle. In your case, you mentioned that your menstrual cycle has typically been around 32 days, but you experienced significant delays in March and April, with cycles extending to nearly 50 days. After taking medication to induce menstruation, you were able to get your period, but subsequent cycles have also been irregular, and you have not had a period since July.

Firstly, it’s important to understand that menstrual irregularities can occur for a variety of reasons, including hormonal imbalances, stress, changes in weight, and underlying medical conditions. Since you have not experienced any significant lifestyle changes or stressors, it may be worthwhile to consider other factors that could be affecting your menstrual cycle.

1. Hormonal Imbalances: The menstrual cycle is regulated by a complex interplay of hormones, including estrogen and progesterone. If there is an imbalance in these hormones, it can lead to irregular periods. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can also disrupt hormonal levels and affect menstruation.

2. Ovulation Issues: You mentioned taking ovulation medication. If your body is not ovulating regularly, this can lead to irregular periods. Anovulation (not ovulating) can be caused by various factors, including hormonal imbalances, stress, and certain medical conditions.

3. Lifestyle Factors: While you indicated that there have been no significant changes in your lifestyle, it’s worth noting that factors such as diet, exercise, and sleep can all influence menstrual regularity. For instance, excessive exercise or significant weight loss can lead to missed periods.

4. Medical Conditions: Conditions such as endometriosis, uterine fibroids, or other reproductive health issues can also lead to irregular menstrual cycles.
Given your situation, it is advisable to consult with a healthcare provider if your period does not return soon. While it is understandable that you may want to avoid taking medication to induce menstruation, it is essential to determine the underlying cause of your irregular cycles. A healthcare provider may recommend tests such as blood tests to check hormone levels, a pelvic ultrasound to assess the reproductive organs, or other diagnostic procedures to rule out any underlying conditions.

In terms of whether to wait for your period to return naturally or seek medical advice, it is generally a good idea to consult with a healthcare provider if you have missed multiple cycles. They can provide personalized guidance based on your medical history and current symptoms. Additionally, if you are sexually active and concerned about pregnancy, it is important to take a pregnancy test to rule that out.

In summary, while occasional irregularities in menstrual cycles can be normal, persistent changes warrant further investigation. Seeking medical advice can help identify any underlying issues and guide you toward appropriate treatment options. Remember, your health is paramount, and addressing these concerns early can lead to better outcomes.

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