Menstrual Irregularities: When to See a Doctor - Obstetrics and Gynecology

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Menstrual issues


Hello, Doctor: I have an irregular menstrual cycle and have not had my period since January 15.
As of now, my period still hasn't arrived, and I have not had any sexual intercourse.
My menstrual cycles were normal and occurred every month before this.
Should I see a doctor now, or should I wait another 1-2 weeks to see if my period comes?

Penny, 30~39 year old female. Ask Date: 2020/03/03

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, please wait another week.
If it still doesn't arrive, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2020/03/03

More Info


Menstrual irregularities can be concerning, especially when they deviate from your normal cycle. In your case, since your last menstrual period was on January 15 and you have not experienced menstruation since, it is understandable to feel anxious about this change.
First, it is important to recognize that menstrual cycles can be influenced by a variety of factors, including stress, changes in weight, exercise habits, hormonal imbalances, and underlying medical conditions. Given that your cycles have been regular until now, the absence of menstruation (amenorrhea) could be indicative of a temporary disruption or a more significant issue.

In general, if you have missed your period and have not engaged in sexual activity, it is still advisable to monitor your symptoms for a short period. However, if you experience any of the following symptoms, it would be prudent to see a doctor sooner rather than later:
1. Severe Pain: If you experience significant abdominal or pelvic pain, it could indicate an underlying issue that needs immediate attention.


2. Unusual Discharge: If you notice any unusual vaginal discharge, such as a change in color, odor, or consistency, this could be a sign of an infection or other medical condition.

3. Other Symptoms: If you experience symptoms such as excessive fatigue, unexplained weight changes, or signs of hormonal imbalance (like excessive hair growth or acne), these could warrant a visit to your healthcare provider.

4. Duration: If your period does not return within a couple of weeks, it is advisable to consult a doctor. A missed period for more than a month, especially if it is unusual for you, should be evaluated.

When you do see a doctor, it is helpful to provide them with a detailed history of your menstrual cycle, any recent lifestyle changes, stressors, and overall health. This information will assist them in determining the potential cause of your irregularity.
In terms of what to expect during your visit, the doctor may perform a physical examination and possibly order tests, such as blood tests to check hormone levels or a pregnancy test, even if you believe pregnancy is not a possibility. They may also inquire about your lifestyle, including diet, exercise, and stress levels, as these can significantly impact menstrual health.

In conclusion, while it may be reasonable to wait a week or two to see if your period returns, it is essential to be vigilant about any accompanying symptoms. If anything feels off or if you have concerns, do not hesitate to reach out to a healthcare professional. Early intervention can often lead to better outcomes and peace of mind.

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