Delayed Periods: Could Stress Be the Cause? - Obstetrics and Gynecology

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Are you pregnant?


Hello Dr.
Tsao, I am the one who asked about having sexual intercourse four days before my girlfriend's expected period, which was supposed to occur from September 23 to 29.
Now, her period still hasn't arrived, but she also doesn't have symptoms like breast tenderness, nausea, or vomiting.
However, she has been experiencing increased stress and fatigue at work lately.
Could this be the reason for her delayed period? Her recent menstrual cycles have been relatively regular, with a cycle length of 35 days.

Mr. Huang, 20~29 year old female. Ask Date: 2020/10/02

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, please wait a bit longer.
If it still hasn't come after a week, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2020/10/02

More Info


Hello! It sounds like you’re concerned about your girlfriend's delayed period and whether stress could be a contributing factor. It’s important to understand that various factors can influence a woman’s menstrual cycle, and stress is indeed one of them.

Firstly, stress can have a significant impact on the menstrual cycle. When a person experiences stress, the body releases hormones such as cortisol and adrenaline. These hormones can interfere with the normal hormonal balance that regulates the menstrual cycle. In your girlfriend's case, if she has been under increased stress at work, it could potentially lead to a delay in her period. Stress can cause the hypothalamus, the part of the brain that regulates hormones, to alter the release of hormones that control the menstrual cycle, leading to irregularities.

In addition to stress, other factors can also contribute to a delayed period. These include significant changes in weight (either gain or loss), excessive exercise, hormonal imbalances, and certain medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. If your girlfriend's menstrual cycle has been relatively regular, a sudden change could be concerning, but it’s not uncommon for women to experience occasional delays.

You mentioned that your girlfriend does not have symptoms such as breast tenderness, nausea, or vomiting, which are often associated with pregnancy. However, it’s important to note that the absence of these symptoms does not completely rule out pregnancy. If there is any possibility of pregnancy, it would be wise for her to take a home pregnancy test for peace of mind.

If the stress at work is a significant factor, it might be beneficial for her to explore stress management techniques. These can include regular exercise, mindfulness practices such as meditation or yoga, and ensuring she has adequate support from friends and family. Sometimes, simply talking about stressors can help alleviate some of the pressure.

If the period remains delayed for an extended time or if she experiences other concerning symptoms, it would be advisable for her to consult with a healthcare provider. A doctor can perform a thorough evaluation, including a physical examination and possibly some blood tests, to rule out any underlying medical conditions that could be affecting her menstrual cycle.

In summary, while stress can certainly contribute to a delayed period, it’s essential to consider other factors as well. Encouraging your girlfriend to take care of her mental and physical health during stressful times can be beneficial. If the delay continues or if there are any concerns, seeking medical advice is always a good step.

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