Delayed Menstruation: Causes and Concerns for Women

Delayed menstruation?

Hello, Doctor.
I would like to ask about the issue of a delayed menstrual period.
My last menstrual cycle was from December 9 to December 14.
I had sexual intercourse with my boyfriend on December 27, using withdrawal method without a condom.
The app predicted that my period would arrive on January 9, but today is January 20 and my period still hasn't come, which is now two weeks late.
My menstrual cycle has never been very regular, often arriving 3-5 days later than the app predicts, but this time it is already two weeks late, so I am quite anxious.
During these two weeks, I have occasionally experienced a dull pain in my abdomen, but my period has not arrived.
This week, I took three pregnancy tests on different days, and all showed one line.
Additionally, I was diagnosed with an illness on December 14 and only recovered by the end of December.
May I ask: 1.
What is the likelihood of pregnancy in this situation? 2.
Is there a connection between my diagnosis and the delayed menstruation? 3.
Could the occasional dull pain in my abdomen be a sign that my period is about to start? Thank you, Doctor, for your answers.
🙏

nvsheng, 10~19 year old female. Ask Date: 2024/01/20

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you are unlikely to be pregnant.
Wait for another one to two weeks, and if your period still hasn't arrived, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2024/01/20

More Info

Understanding delayed menstruation can be a source of anxiety for many women, especially when it comes to concerns about pregnancy and underlying health issues. In your case, you have experienced a delay of two weeks since your expected menstrual period, which can be attributed to various factors.

1. Pregnancy Probability: Given that you had unprotected intercourse with external ejaculation, there is a possibility of pregnancy, albeit it may be lower than with internal ejaculation. The timing of your cycle is also crucial; if you were not in your fertile window, the chances decrease. However, since your menstrual cycle has been irregular, it is difficult to predict ovulation accurately. The negative pregnancy tests you have taken are reassuring, but it is important to note that testing too early can sometimes yield false negatives. If your period does not arrive soon, consider consulting a healthcare provider for a blood test, which is more sensitive than home urine tests.

2. Impact of Illness on Menstrual Cycle: Your recent illness could indeed be a contributing factor to your delayed menstruation. Stress, whether physical or emotional, can significantly impact hormonal balance, leading to irregularities in your menstrual cycle. The body often prioritizes essential functions during illness, which can disrupt the menstrual cycle. Additionally, the stress of being unwell can lead to changes in your body's hormonal levels, further delaying your period.

3. Abdominal Discomfort: The occasional dull pain in your abdomen could be a sign that your period is approaching, as many women experience premenstrual symptoms. However, it could also be related to other factors, such as stress or digestive issues. If the pain becomes severe or is accompanied by other concerning symptoms, it would be wise to seek medical advice.

In summary, while the delay in your menstruation can be concerning, it is essential to consider all potential factors, including your recent illness, stress levels, and the nature of your menstrual cycle. If your period does not arrive soon or if you continue to experience discomfort, I recommend consulting with a healthcare professional for further evaluation. They may suggest additional tests or examinations to rule out any underlying conditions and provide peace of mind. Remember, maintaining a healthy lifestyle, managing stress, and keeping track of your menstrual cycle can help you better understand your body and its rhythms.

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