Delayed Menstruation: When to Seek Medical Advice

Delayed menstruation?

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 intercourse with my boyfriend on January 26, February 3, February 4, and February 10, all with condom use and external ejaculation.

1.
Do I need to see a doctor?
2.
What is the likelihood of pregnancy?
3.
I saw that doctors suggested blood tests for individuals with similar concerns.
If needed, which department should I consult?
Thank you.

MJ, 20~29 year old female. Ask Date: 2023/03/05

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.

Reply Date: 2023/03/05

More Info

Hello! Thank you for reaching out with your questions regarding delayed menstruation. Based on the information you've provided, let's address your concerns one by one.

1. Should you see a doctor? Given that your menstrual cycle has been regular and you have not had your period for over a month, it is advisable to consult a healthcare provider. While there are various reasons for a missed period, including stress, hormonal imbalances, or changes in weight or exercise habits, it is essential to rule out pregnancy or any underlying health issues. Since you have been sexually active, even with protection, it’s prudent to get a professional opinion.

2. What is the likelihood of pregnancy? While using condoms and practicing withdrawal (pulling out) significantly reduces the risk of pregnancy, no method is 100% effective. The timing of your sexual activity in relation to your ovulation cycle also plays a crucial role. If your menstrual cycle is typically regular, the chances of pregnancy are lower, but they are not zero. A missed period is often one of the first signs of pregnancy, so it would be wise to take a home pregnancy test or consult with a healthcare provider for a blood test to confirm.

3. Which department should you see? If you decide to seek medical advice, you should schedule an appointment with a gynecologist or a family medicine physician. They can perform the necessary evaluations, including a pregnancy test and any other tests that may be required to determine the cause of your delayed menstruation. If pregnancy is ruled out, they can help investigate other potential causes for your missed period.

In addition to these points, it’s important to consider other factors that might affect your menstrual cycle. Stress, significant weight changes, excessive exercise, or medical conditions such as polycystic ovary syndrome (PCOS) can all lead to irregularities in your cycle. Keeping track of your menstrual history, as you have done, is very helpful for your healthcare provider in diagnosing any issues.

If you are experiencing any additional symptoms, such as severe abdominal pain, unusual discharge, or any other concerning signs, you should seek medical attention sooner rather than later. Your health and peace of mind are paramount, and addressing these concerns with a professional can provide clarity and reassurance.

In summary, it is advisable to see a doctor given the delay in your menstruation. The likelihood of pregnancy exists, albeit reduced due to your protective measures. A gynecologist or family medicine physician would be the appropriate specialist to consult for your situation. Don't hesitate to reach out for medical advice; it’s always better to be safe and informed about your health.

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