Is My Period Late? When to See a Doctor for Delayed Menstruation

Does this count as a delayed menstruation?

Last time, my period was from August 6 to August 14, and then it came again from August 27 to August 31.
I had sexual intercourse on September 4 with a condom, and I took a morning urine pregnancy test 22 days later, which showed no pregnancy.
My expected period date was September 27, but it hasn't arrived.
I would like to know if this is considered a delayed period.
How many days of delay should I see a doctor? What is the likelihood of pregnancy?

Xie xie yi shi, 10~19 year old female. Ask Date: 2021/09/27

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
For pregnancy concerns, please take a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after your most recent sexual intercourse.
2.
The menstrual cycle can be influenced by various psychological and physiological factors.
If your period is more than two months late, it is recommended to see a gynecologist for examination and evaluation.

Reply Date: 2021/09/27

More Info

When it comes to delayed menstruation, it can be a source of concern for many women, especially if their cycles have been regular in the past. Based on the information you've provided, it appears that your last menstrual period was expected around September 27, but it has not arrived yet. Given that you had a sexual encounter on September 4 with protection and subsequently took a pregnancy test 22 days later, which returned negative, it seems that pregnancy is unlikely. However, there are several factors to consider regarding your delayed period and when to seek medical advice.

Firstly, menstrual cycles can be influenced by a variety of factors including stress, changes in weight, hormonal imbalances, and even illness. If you have experienced any significant changes in your lifestyle, such as increased stress from work or personal life, this could potentially affect your cycle. Additionally, if you have had any recent illnesses or changes in your diet, these could also play a role in delaying your menstruation.

In general, if your period is late by more than a week, it is advisable to consult a healthcare provider. This is particularly important if you have experienced other symptoms such as severe abdominal pain, unusual discharge, or any other concerning signs. A healthcare provider can perform a thorough evaluation, which may include a physical examination and possibly blood tests to check hormone levels or other underlying conditions.

Regarding the likelihood of pregnancy, while you mentioned using protection, it is important to remember that no contraceptive method is 100% effective. The fact that you took a pregnancy test and received a negative result is reassuring, but if your period does not arrive soon, you may want to repeat the test or consult a doctor for further evaluation.

If you find that your menstrual cycle continues to be irregular or if you experience significant discomfort, it is crucial to seek medical attention. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can lead to irregular periods and may require treatment.

In summary, while a late period can be concerning, it is not uncommon for women to experience occasional delays. If your period is more than a week late, or if you have any other concerning symptoms, it is best to consult with a healthcare provider. They can help determine the cause of the delay and recommend appropriate treatment options if necessary. Remember, taking care of your reproductive health is important, and seeking medical advice is a proactive step in ensuring your well-being.

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