Delayed Menstruation: Causes and Concerns for Women

Menstruation is delayed by approximately 10 days?

The last menstrual period was on September 22.
I was supposed to get my period on October 23, but it didn't come.
On October 25, I took a pregnancy test and it showed two lines.
I went to the hospital for checks in the following two days, but there were no results.
Today, November 3, I noticed a small amount of light pink blood on my panty liner; it was only noticeable when I wiped with tissue, and there was no odor or menstrual cramps.
My usual flow would require a pad for 23-25 days.
Recently, I've been feeling dizzy, unusually sleepy, and easily hungry.
Before October 23, I was taking weight loss pills and practicing intermittent fasting (16:8).

Miss Fan, 20~29 year old female. Ask Date: 2020/11/03

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
For pregnancy concerns, please take a home pregnancy test or consult a gynecologist four weeks after sexual intercourse.

2.
Abnormal bleeding and irregular menstrual cycles can have many underlying causes; it is recommended to see a gynecologist for evaluation.

Reply Date: 2020/11/03

More Info

Delayed menstruation can be a source of concern for many women, especially when it deviates from their usual cycle. In your case, you mentioned that your last menstrual period was on September 22, and you expected it to arrive around October 23 but did not see it. Instead, you took a pregnancy test on October 25, which showed two lines, indicating a positive result. Following that, you visited the hospital for further evaluation, but the results were inconclusive.
The presence of light pink spotting on November 3, along with the absence of typical menstrual symptoms such as cramps, can be indicative of several possibilities. Firstly, it is important to consider the possibility of early pregnancy. The spotting you experienced could be implantation bleeding, which occurs when a fertilized egg attaches to the lining of the uterus. This can happen around the time your period is due, and it is often lighter and shorter than a regular menstrual period.

However, other factors can also contribute to delayed menstruation and abnormal bleeding. Stress, significant lifestyle changes, and hormonal imbalances can all disrupt the menstrual cycle. You mentioned that you had been taking weight loss pills and practicing intermittent fasting (16:8), which can lead to changes in your body's hormonal balance and potentially affect your menstrual cycle. Additionally, emotional stress or changes in your daily routine can also play a significant role in menstrual irregularities.

The symptoms you described, such as dizziness, increased fatigue, and heightened hunger, could be related to several factors, including hormonal changes associated with pregnancy or the effects of dietary changes. It is essential to monitor these symptoms closely. If the dizziness persists or worsens, or if you experience any other concerning symptoms, it would be wise to seek medical attention.

Given your situation, here are some recommendations:
1. Follow-Up Pregnancy Testing: Since you received a positive pregnancy test, it would be advisable to follow up with a healthcare provider for a blood test to confirm the pregnancy. Blood tests are more sensitive and can provide a clearer picture of your hormone levels.

2. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as changes in appetite, mood swings, or physical discomfort. This information can be helpful for your healthcare provider in assessing your situation.

3. Lifestyle Considerations: If you are engaging in significant dietary changes or weight loss efforts, consider consulting with a nutritionist or healthcare provider. They can help ensure that your approach is healthy and sustainable, minimizing any negative impact on your menstrual cycle.

4. Stress Management: If you suspect that stress may be contributing to your symptoms, consider incorporating stress-reducing activities into your routine, such as yoga, meditation, or regular exercise.

5. Regular Check-Ups: If your menstrual irregularities continue or if you have concerns about your reproductive health, regular check-ups with a gynecologist can help identify any underlying issues.

In conclusion, while delayed menstruation can be concerning, it is essential to consider the broader context of your health and lifestyle. Early pregnancy is a possibility, but other factors such as hormonal imbalances and lifestyle changes can also play a significant role. Seeking medical advice and monitoring your symptoms will provide you with the best course of action moving forward.

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