Delayed Menstruation After Abnormal Uterine Bleeding: What to Know

Abnormal uterine bleeding followed by delayed menstruation?

Hello, doctor.
Last month, I experienced abnormal uterine bleeding after my menstrual period.
After a pelvic examination, I was informed that it was due to inflammation (the doctor noted "leiomyoma" on the prescription), and a urine test confirmed that I was not pregnant.
After taking medication, the bleeding stopped after about a week.
However, this month, my period is a week late and has not arrived.
Is this normal, or should I seek medical attention? (I have not engaged in any sexual activity during this time.)

chan, 20~29 year old female. Ask Date: 2020/03/22

Dr. Wu Xianghui reply Obstetrics and Gynecology

Abnormal bleeding and irregular menstrual cycles can have various underlying causes.
It is recommended to consult a specialist in obstetrics and gynecology for evaluation.

Reply Date: 2020/03/22

More Info

Delayed menstruation following abnormal uterine bleeding can be concerning, and it’s understandable that you are seeking clarity on this issue. Based on your description, it seems you experienced abnormal uterine bleeding, which was diagnosed as inflammation, and you were treated accordingly. After the treatment, your bleeding stopped, but now you are facing a delay in your menstrual cycle.

Firstly, it’s important to recognize that menstrual cycles can be influenced by a variety of factors, including hormonal imbalances, stress, changes in weight, and underlying health conditions. Given that you had abnormal bleeding previously, it is possible that your body is still adjusting hormonally after the inflammation and subsequent treatment.
In your case, since you mentioned that you have not engaged in sexual activity during this period, the likelihood of pregnancy is ruled out, especially since you have already taken a urine pregnancy test that returned negative. However, the absence of menstruation for a week after an abnormal bleeding episode warrants further attention.

Here are some considerations regarding your situation:
1. Hormonal Imbalance: The hormonal fluctuations that can occur after an episode of abnormal bleeding may lead to changes in your menstrual cycle. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other endocrine issues can disrupt regular cycles.

2. Stress and Lifestyle Factors: Emotional or physical stress can significantly impact your menstrual cycle. Changes in your daily routine, diet, or exercise habits can also contribute to delays in menstruation.

3. Underlying Conditions: While you have been diagnosed with inflammation, it’s essential to consider that other conditions, such as uterine fibroids or polyps, could also affect your menstrual cycle. If the inflammation was significant, it might take time for your body to return to its normal rhythm.

4. Follow-Up Care: Since you have experienced abnormal bleeding and now have a delayed period, it is advisable to follow up with your healthcare provider. They may recommend further evaluation, such as blood tests to check hormone levels, or imaging studies to assess the uterus and ovaries for any structural issues.

5. Monitoring Symptoms: Keep track of any additional symptoms you may experience, such as pelvic pain, changes in discharge, or any other unusual signs. This information can be helpful for your healthcare provider in determining the next steps.

In conclusion, while a delayed period can sometimes be a normal occurrence, especially after an episode of abnormal bleeding, it is essential to consult with your healthcare provider for a thorough evaluation. They can help determine whether this delay is a temporary adjustment or if further investigation is needed to rule out any underlying conditions. Your health and peace of mind are paramount, so seeking professional advice is always a prudent choice.

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