Delayed Menstruation: When to Seek Gynecological Advice - Obstetrics and Gynecology

Share to:

Menstrual delay


My last menstrual period was from March 4 to March 10.
This month, I was supposed to get my period on April 7, but it hasn't arrived, and it's been over a week late.
I took a pregnancy test on April 15, but it was negative.
What is the likelihood of being pregnant? My menstrual cycle is usually regular, but occasionally I have a month where it is significantly delayed.
Recently, I have been experiencing breast tenderness.
Should I see a gynecologist, or should I wait for my period to come on its own?

Miss Lin, 20~29 year old female. Ask Date: 2021/04/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it seems you are not pregnant.
Wait for another week, and if your period still hasn't arrived, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2021/04/19

More Info


Delayed menstruation can be a source of concern for many women, especially when it deviates from their regular cycle. In your case, you mentioned that your last menstrual period was from March 4 to March 10, and you expected your next period around April 7, but it has been delayed for over a week. You also took a pregnancy test on April 15, which came back negative.
First, it’s important to understand that menstrual cycles can be influenced by a variety of factors, including stress, hormonal imbalances, changes in weight, and lifestyle changes. Even if you typically have a regular cycle, occasional delays can occur. The fact that you have experienced a delay this month does not necessarily indicate a serious problem, especially if your cycles are usually regular.

Regarding your question about the likelihood of pregnancy, since you took a pregnancy test and it was negative, the chances of being pregnant are low. However, it’s worth noting that pregnancy tests are most accurate when taken after a missed period. If you suspect you might still be pregnant, you could consider retesting a few days later or consulting with a healthcare provider for a blood test, which can detect pregnancy earlier than home urine tests.

The breast tenderness you are experiencing could be related to hormonal fluctuations in your body. Hormonal changes can occur for various reasons, including ovulation, premenstrual syndrome (PMS), or even stress. Breast tenderness is a common symptom that many women experience in relation to their menstrual cycle, and it does not necessarily indicate pregnancy.

As for whether you should see a gynecologist, it depends on your comfort level and the severity of your symptoms. If you are feeling anxious about the delay or if you experience any unusual symptoms such as severe pain, heavy bleeding, or other concerning signs, it would be wise to consult a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly additional tests, to determine the underlying cause of your delayed menstruation.

In summary, while occasional delays in your menstrual cycle can happen, especially if you have a history of regular cycles, it’s important to listen to your body. If you have concerns or if your symptoms worsen, seeking medical advice is always a good option. Your gynecologist can provide personalized guidance based on your medical history and current symptoms, helping to ensure your reproductive health is managed effectively.

Similar Q&A

Understanding Delayed Menstruation: Possible Causes and When to Seek Help

The physician had sexual intercourse with his girlfriend on March 31, and there was blood on the condom. That day was also around the time her menstrual period was expected. He noticed a distinct sensation of pelvic descent. However, by April 4, her period still had not arrived. ...


Dr. Lin Manying reply Obstetrics and Gynecology
What you need is not medical advice but rather a refresher on sexual health knowledge. For such inquiries, it is recommended to refer to the National Health Administration's "Sexual Wellness e-Learning" or the Obstetrics and Gynecology Society's "Consulta...

[Read More] Understanding Delayed Menstruation: Possible Causes and When to Seek Help


Understanding Delayed Menstruation: When to Seek Medical Advice

Hello Doctor: My last menstrual period was at the end of August last year, and I haven't had one since. I am certain that I am not pregnant, as I have never engaged in sexual intercourse. I am a student and for the past week, I have had to go directly to work or attend tutor...


Dr. Liu Yuhong reply Obstetrics and Gynecology
If menstruation has not occurred for more than three months and pregnancy has been ruled out, it is advisable to seek medical evaluation. There may be hormonal issues involved. Blood tests can help identify the underlying causes of menstrual irregularities.

[Read More] Understanding Delayed Menstruation: When to Seek Medical Advice


Understanding Delayed Menstruation: When to Seek Medical Advice

Hello Dr. Tsao, I have recorded the first day of my menstrual cycle on the following dates: April 4, May 7, June 5, July 10, August 7, September 8, October 19, November 25, December 25, and January 23. Currently, it is March 5, and my period has not yet arrived. I had sexual in...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if you are using contraception, the likelihood of pregnancy should be low. If you are still concerned, you can take a pregnancy test to check. Wishing you good health.

[Read More] Understanding Delayed Menstruation: When to Seek Medical Advice


Understanding Delayed Menstruation: When to Seek Medical Advice

Hello, my menstrual cycle has always been around 28-30 days. I usually experience slight bleeding before my period. However, today (April 11) is the 34th day of my cycle, and aside from symptoms similar to those of my period, such as lower abdominal pain and lower back discomfort...


Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, if pregnancy has been ruled out, it is recommended to visit a gynecologist after 14 days past the expected menstrual period. Thank you.

[Read More] Understanding Delayed Menstruation: When to Seek Medical Advice


Related FAQ

Delayed Menstruation

(Obstetrics and Gynecology)

Medication To Delay Menstruation

(Obstetrics and Gynecology)

Menstrual Abnormalities

(Obstetrics and Gynecology)

Anovulatory Menstruation

(Obstetrics and Gynecology)

Due Date

(Obstetrics and Gynecology)

First Menstruation

(Obstetrics and Gynecology)

Menstrual Cramps

(Obstetrics and Gynecology)

Menstrual Regulation

(Obstetrics and Gynecology)

Ovulation Period

(Obstetrics and Gynecology)

Medication To Induce Menstruation

(Obstetrics and Gynecology)