Menstrual Delays: When to Seek Medical Advice

Menstrual cycle issues?

I would like to ask the doctor, my menstrual cycle is usually very regular (it started on May 16 last month), with a cycle of about 30 days.
However, this month I am already 7 days late compared to my expected date (June 16), and I haven't seen my boyfriend for over two months (since we had sexual intercourse).
We usually use condoms during intercourse.
How long should my period be late before it becomes a concern? Should I see a doctor now, or how much longer should I wait before consulting one? What should I do at this point? Thank you, doctor.

N, 20~29 year old female. Ask Date: 2018/06/23

Dr. Huang Jianzhong reply Obstetrics and Gynecology

My menstrual cycle is usually very regular (it started on May 16 last month), with a cycle length of about 30 days.
However, this month I am already 7 days late compared to my expected date (June 16), and I haven't seen my boyfriend for over two months (we had sexual intercourse).
We usually use condoms during intercourse.
How long should I wait for my period to be considered a problem? Should I see a doctor now, or how much longer should I wait before seeing a doctor? What should I do now?
Answer: First, take a pregnancy test for peace of mind.
You can wait another two weeks.

Reply Date: 2018/06/23

More Info

When it comes to menstrual delays, it's important to understand that various factors can influence your menstrual cycle, including stress, hormonal imbalances, lifestyle changes, and even underlying health conditions. Given your situation, where your period is now a week late, it’s understandable to feel concerned, especially since you typically have a regular cycle.

In general, a menstrual cycle can vary from 21 to 35 days, and a delay of a few days can be normal. However, since you mentioned that your period is now 7 days late, it may be a good idea to take a pregnancy test, especially since you have had sexual intercourse, even with condom use. While condoms are effective at preventing pregnancy, they are not 100% foolproof, and there is always a small risk of failure.

If the pregnancy test is negative and your period still does not arrive, it would be advisable to consult with a healthcare provider. They can help determine if there are other underlying issues that may be causing the delay. Common causes of delayed menstruation can include:
1. Stress: High levels of stress can disrupt hormonal balance, leading to delayed or missed periods.

2. Weight Changes: Significant weight loss or gain can affect your menstrual cycle.

3. Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) can lead to irregular periods.

4. Thyroid Issues: An underactive or overactive thyroid can also affect your menstrual cycle.

5. Medications: Certain medications can impact your menstrual cycle as well.

If you decide to wait before seeing a doctor, monitor your body for any additional symptoms. If you experience severe pain, heavy bleeding, or any other concerning symptoms, seek medical attention promptly.
In summary, while a delay of a week can sometimes be normal, given your regular cycle and the fact that you are now 7 days late, it would be prudent to take a pregnancy test. If negative, and your period does not return within a week or two, or if you have any other concerning symptoms, it would be wise to consult with a healthcare professional for further evaluation. Your health and peace of mind are important, and a healthcare provider can offer guidance tailored to your specific situation.

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