Delayed Menstruation: When to Seek Further Evaluation

Q: Delayed Menstruation: When to Seek Further Evaluation

Ms. <br>Manman： Hello, I recommend that you undergo hormone testing. <br>If you experience irregular sleep patterns or abnormal weight gain or loss, please make self-improvements or seek medical attention. <br>The Hualien Hospital of the Ministry of Health and Welfare cares about

Delayed menstruation?

In the past two months, I have visited a gynecologist for my menstrual period.
During the first visit, the doctor performed an ultrasound and said that everything seemed fine.
The doctor prescribed medication to regulate my period, and after finishing the medication, my period usually arrives about a week later.
However, the flow has not been as heavy as before, and it lasts about three to four days, with only spotting towards the end.
After the second visit, the doctor mentioned that I could pay out of pocket for blood tests costing around three to four thousand NT dollars.
This month, my period is already over three weeks late.
I would like to know if I need to undergo any further detailed examinations or if I should wait for my menstrual cycle to regulate itself.
If it is necessary to regulate my cycle, should I proactively discuss this with my gynecologist? I feel unclear about the situation since the doctor did not provide specific reasons during my two visits.
Thank you for taking the time to respond, I greatly appreciate it.

man man, 20~29 year old female. Ask Date: 2020/07/22

Dr. Lin Manying reply Obstetrics and Gynecology

Ms.
Manman: Hello, I recommend that you undergo hormone testing.
If you experience irregular sleep patterns or abnormal weight gain or loss, please make self-improvements or seek medical attention.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/07/22

More Info

Delayed menstruation can be a source of concern for many women, and understanding when to seek further evaluation is crucial for managing reproductive health. Based on your description, it seems you have already consulted with a gynecologist twice, and while initial evaluations, including an ultrasound, did not reveal any significant issues, your menstrual cycle remains irregular and delayed.

First, it’s important to recognize that menstrual irregularities can be caused by a variety of factors, including hormonal imbalances, stress, changes in weight, excessive exercise, and underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. The fact that your periods have been lighter and shorter than usual could indicate a hormonal imbalance, which is not uncommon.

Given that you have experienced a delay of over three weeks this month, it may be time to consider further evaluation. While your doctor has suggested blood tests, which can provide valuable information about hormone levels, it’s essential to communicate your concerns clearly. If you feel that your menstrual irregularities are affecting your quality of life or causing you distress, you should advocate for more comprehensive testing.

Here are some steps you can take:
1. Discuss Your Symptoms in Detail: When you visit your gynecologist again, be sure to provide a detailed account of your symptoms. Mention the changes in your menstrual flow, the duration of your periods, and any other symptoms you may be experiencing, such as weight changes, mood swings, or physical discomfort.

2. Request Specific Tests: If your doctor has not already suggested them, you might want to ask about specific blood tests that can evaluate your hormone levels, including estrogen, progesterone, thyroid hormones, and possibly a pregnancy test if there is any chance of pregnancy. Additionally, tests for conditions like PCOS or other hormonal disorders may be warranted.

3. Consider Lifestyle Factors: Reflect on any lifestyle changes that may have occurred recently. Stress, changes in diet, exercise routines, or significant life events can all impact menstrual cycles. If you identify any potential triggers, discuss these with your doctor.

4. Follow-Up on Previous Evaluations: Since you have already undergone an ultrasound, it might be helpful to ask if any follow-up imaging or evaluations are necessary, especially if your symptoms persist or worsen.

5. Be Open to Treatment Options: If hormonal imbalances are identified, your doctor may discuss treatment options, which could include hormonal therapies, lifestyle modifications, or other interventions to help regulate your menstrual cycle.

6. Monitor Your Cycle: Keep a record of your menstrual cycle, noting any irregularities, symptoms, and changes. This information can be invaluable for your healthcare provider in diagnosing and treating any underlying issues.

In summary, while it may take some time for your cycle to regulate itself, especially if there are underlying hormonal issues, it is essential to remain proactive in your healthcare. If you feel uncertain or uncomfortable with the explanations provided by your doctor, do not hesitate to seek a second opinion or ask for further evaluations. Your health and well-being are paramount, and you deserve clarity and support in managing your menstrual health.

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