Delayed Menstruation: Possible Causes and Symptoms - Obstetrics and Gynecology

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Menstrual delay


Hello, doctor.
On January 28, I was in my ovulation period, and my boyfriend had intercourse that day.
I indicated that it was a risky period.
My period in February was delayed by one day, but it only lasted for five days, and the flow significantly decreased after the third day.
My period in March is now five days late, and today I have a small amount of brown discharge.
My breasts are also slightly more painful than during my previous periods.
What could these symptoms indicate? Is there a possibility of pregnancy?

Mei, 10~19 year old female. Ask Date: 2021/03/17

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.
The menstrual cycle can be influenced by various physical and mental conditions.

Reply Date: 2021/03/17

More Info


Delayed menstruation can be a source of concern for many women, and understanding the possible causes and symptoms is crucial for addressing any underlying issues. Based on your description, there are several factors to consider regarding your menstrual irregularities.

Firstly, it is important to note that menstrual cycles can be influenced by a variety of factors, including hormonal fluctuations, stress, changes in weight, and lifestyle changes. The average menstrual cycle ranges from 21 to 35 days, and variations can occur from month to month. A delay of a few days, as you experienced, can sometimes be normal, especially if there have been recent changes in your routine or stress levels.

Given that you mentioned having unprotected intercourse during your ovulation period, there is a possibility of pregnancy. The symptoms you described, such as breast tenderness and the presence of brown discharge, can be early signs of pregnancy. Brown discharge is often old blood that is being expelled from the body, which can occur in early pregnancy or as a result of hormonal changes. However, it is also common for women to experience changes in their menstrual flow, including lighter periods or spotting, due to various reasons unrelated to pregnancy.

Other potential causes for delayed menstruation and changes in menstrual flow include:
1. Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular cycles and changes in menstrual flow. Hormonal contraceptives can also affect the regularity and nature of your periods.

2. Stress: Psychological stress can significantly impact your menstrual cycle. High levels of stress can lead to missed periods or changes in flow.

3. Weight Changes: Significant weight loss or gain can disrupt your hormonal balance and affect your menstrual cycle.

4. Medical Conditions: Conditions such as endometriosis or uterine fibroids can cause changes in menstrual patterns, including delayed periods and changes in flow.

5. Pregnancy: As mentioned earlier, if there is a possibility of pregnancy, it is advisable to take a home pregnancy test for confirmation. If the test is positive, you should schedule an appointment with a healthcare provider for further evaluation and prenatal care.

Given your symptoms and the timing of your menstrual cycle, it may be beneficial to take a home pregnancy test to rule out pregnancy as a cause of your delayed menstruation. If the test is negative and your period does not resume or if you continue to experience unusual symptoms, it would be wise to consult with a healthcare professional. They can perform a thorough evaluation, including a physical examination and possibly blood tests, to determine the underlying cause of your symptoms.

In summary, while delayed menstruation can be concerning, it is essential to consider various factors that may contribute to this change. Monitoring your symptoms and seeking medical advice if necessary will help ensure that any potential issues are addressed promptly. Remember, your health and well-being are paramount, so do not hesitate to reach out for professional guidance.

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