Delayed Menstruation: When to Seek Medical Advice

Missed menstruation?

Hello Doctor: My last menstrual period was from February 17 to February 22, and today (April 26) I have not had my period for almost two months, which makes me a bit worried.
I went to a traditional Chinese medicine shop in the past couple of days and got some herbal prescriptions to brew into soup.
I would like to ask how long it usually takes to see results? If my period still hasn’t come after I finish the herbal treatment, is it okay to see a doctor then? PS.
I have never had sexual intercourse.

Xiao Mi, 20~29 year old female. Ask Date: 2022/04/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle or cause bleeding outside of menstruation are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnancy, and breastfeeding, among others.
It is recommended that if your period does not arrive after two weeks, you should consult a gynecologist to check for hormonal imbalances or other causes.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/04/26

More Info

Delayed menstruation can be a source of concern for many women, and it's important to understand the various factors that can contribute to this condition. In your case, with your last menstrual period occurring from February 17 to February 22 and no menstruation since then, it is understandable that you are feeling anxious.
Firstly, it is essential to recognize that a missed period can be caused by a variety of factors, including hormonal imbalances, stress, significant weight changes, excessive exercise, or underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Since you mentioned that you have not engaged in sexual activity, pregnancy is less likely to be a factor, but it is still a good idea to rule it out with a home pregnancy test if you have not done so already.

Regarding the use of traditional Chinese medicine (TCM) and herbal remedies, the effectiveness can vary widely depending on the individual and the specific herbs used. While some women may find relief and restoration of their menstrual cycle through TCM, it is important to remember that herbal treatments can take time to show results. Generally, you might expect to see some changes within a few weeks, but this can vary. If you have been taking the herbal remedies for a short period, it may be beneficial to continue for a little longer, but you should monitor your body’s response closely.

If, after completing your herbal treatment, your period still does not arrive, it would be wise to consult a healthcare professional. A doctor can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly imaging studies to rule out any anatomical issues. This is particularly important if you experience any additional symptoms, such as significant pain, unusual discharge, or other changes in your health.

In summary, while you may choose to continue with your herbal treatment for now, it is crucial to keep an open line of communication with a healthcare provider. If your menstruation does not resume after your herbal regimen, or if you have any concerning symptoms, seeking medical advice sooner rather than later is advisable. Early intervention can help identify any underlying issues and provide appropriate treatment options, ensuring your reproductive health is maintained. Remember, your health and well-being are paramount, and it is always better to err on the side of caution when it comes to your body.

Similar Q&A

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.

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...

Missed Period: When to Seek Medical Help for Delayed Menstruation

Hello Doctor: My menstrual cycle is two weeks late, and the pregnancy test results show that I am not pregnant. Is it necessary for me to go to the hospital to induce my period?

Dr. Huang Jianxun reply Obstetrics and Gynecology
Occasional menstrual delays can indeed be bothersome. It may be worth considering progesterone treatment to induce menstruation, after which you can discuss further with your physician.

Delayed Menstruation: When to Wait and When to Seek Medical Advice

Hello doctor, my last menstrual period started on June 19, with a cycle of about 28-30 days. I had sexual intercourse in mid-July (with a condom the entire time), and my period has not arrived yet. I took a pregnancy test on July 21 and got one line, and the same result on July 2...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Last month's menstruation started on June 19, with a cycle of approximately 28-30 days. There was sexual intercourse in mid-July (with condom use throughout). Currently, menstruation has not yet arrived. A pregnancy test on July 21 showed one line, and another test on July 2...