Irregular Periods: When to Seek Further Medical Advice

Q: Irregular Periods: When to Seek Further Medical Advice

Ms. <br>Pen： Hello, regarding your inquiry, the response is as follows： 1. <br>It is recommended that you seek further medical consultation： first, take a pregnancy test → induce menstruation → investigate the causes of menstrual irregularities → regulate menstruation. <br>2. <br

Menstrual period is delayed?

Doctor, my last menstrual period started on July 15, but it still hasn't arrived by September.
I visited a gynecologist on September 10, and the doctor prescribed a 7-day course of medication to induce menstruation, stating that my period should come within 10 days after finishing the medication.
However, today is the fourth day after completing the medication, and I have no symptoms or feelings indicating that my period is coming.
During this time, I had intercourse with my boyfriend once, but he did not ejaculate inside me.
I would like to ask: 1.
Is it possible that I could be pregnant during this time? 2.
Should I continue to wait the full 10 days to see if my period comes, or should I consult another gynecologist? 3.
I have experienced irregular periods for a long time, from menarche to now.
Do I need to undergo further examinations? 4.
I also want to ask that from October 1 to October 3, I plan to go to Xiao Liuqiu with friends, and I'm worried that if I see a doctor again, my period might start during that time.
Should I prioritize waiting for my period to come, or can I adjust my menstrual cycle?

pen, 20~29 year old female. Ask Date: 2020/09/22

Dr. Lin Manying reply Obstetrics and Gynecology

Ms.
Pen: Hello, regarding your inquiry, the response is as follows: 1.
It is recommended that you seek further medical consultation: first, take a pregnancy test → induce menstruation → investigate the causes of menstrual irregularities → regulate menstruation.
2.
It is unpredictable; this is a possible scenario.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/09/22

More Info

Irregular menstrual periods can be concerning, and it’s important to understand the potential causes and when to seek further medical advice. Based on your situation, let’s address your questions one by one.

1. Possibility of Pregnancy: While you mentioned that you had intercourse without ejaculation inside, there is still a small possibility of pregnancy. Pre-ejaculate fluid can contain sperm, and if you have irregular cycles, it’s difficult to predict ovulation. If you are concerned about pregnancy, taking a home pregnancy test can provide clarity. It’s best to wait until at least a week after your missed period for the most accurate result.

2. Waiting for Menstruation: Since you have taken the medication prescribed by your gynecologist to induce menstruation, it is advisable to wait for the full 10 days as suggested. If your period does not arrive by then, it would be prudent to follow up with your doctor or seek a second opinion. Irregular periods can be a sign of underlying health issues, and it’s important to address them.

3. Further Investigations: Given that you have a history of irregular periods since menarche, it would be wise to undergo further evaluation. Common tests include hormonal assessments (like thyroid function tests, prolactin levels, and ovarian function tests), pelvic ultrasound, and possibly other imaging studies. These tests can help identify conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances.

4. Travel Plans and Menstrual Timing: If you are concerned about your period arriving during your trip to 小琉球, it’s important to note that while some medications can help regulate or delay menstruation, they should only be taken under the guidance of a healthcare provider. If you wish to adjust your cycle, consult with your gynecologist about safe options. However, it’s essential to prioritize your health and not rush into taking medications without proper medical advice.

In summary, it’s crucial to monitor your symptoms and maintain open communication with your healthcare provider. Irregular periods can stem from various factors, including stress, hormonal imbalances, or lifestyle changes. Keeping a menstrual diary can also help your doctor understand your cycle better. If you experience any additional symptoms such as severe pain, unusual discharge, or significant changes in your health, seek medical attention promptly. Your health is paramount, and addressing these concerns early can lead to better outcomes.

Similar Q&A

Understanding Irregular Menstrual Cycles: When to Seek Medical Advice

Hello Doctor, I would like to ask a few questions. My menstrual period started at the beginning of this month, but it came again this Monday (April 18), and the flow is quite heavy. This situation has occurred a few times before, but I have not visited a hospital or clinic for a ...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: There are many reasons for menstrual irregularities, and it is recommended to seek medical attention from a gynecologist. Thank you!

Understanding Irregular Menstruation: When to Seek Medical Advice

Hello Doctor, my good friend has been late for two months... She came back these past two days, but the flow has only been very light, so she went to see a doctor nearby her home... The doctor said that the flow would return to normal the next day... The doctor mentioned it was d...

Dr. Wu Xianghui reply Obstetrics and Gynecology
Abnormal bleeding and irregular menstrual cycles can have various underlying causes. It is recommended to consult a gynecologist for evaluation in an outpatient setting.

Understanding Irregular Menstrual Cycles: Causes and Concerns

I'm sorry, but I can't provide medical advice. However, it sounds like you are experiencing irregularities in your menstrual cycle. It's important to consult with a healthcare professional to discuss your symptoms and any concerns you may have regarding your menstr...

Dr. Wu Xianghui reply Obstetrics and Gynecology
1. For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse. 2. Abnormal bleeding and irregular menstrual cycles can have various underlying causes; it is recommended to seek evaluation from a gynecolog...

Understanding Irregular Periods: When to Seek Medical Help

I often experience menstrual cycles that exceed 28 days. Since the second half of last year, my periods have been occurring approximately every 45 days. The most recent one was in January. Since that January period, I have not had my period again until now in May. I am certain th...

Dr. Zhang Yongxuan reply Obstetrics and Gynecology
You should consult a gynecologist, as it is likely that the ovaries are not responding well to the gonadotropins secreted by the pituitary gland, or there may be an abnormal ratio of follicle-stimulating hormone (FSH) to luteinizing hormone (LH). This is commonly seen in polycyst...