Missed Period: Causes and When to Seek Help

Q: Missed Period: Causes and When to Seek Help

Hello： If it has been a long time since your last visit, you should schedule a gynecological examination.

Menstruation has not yet arrived?

Hello Doctor, I would like to ask you a question.
My expected menstrual period was on the 21st, but it hasn't arrived yet.
A year ago, I experienced a similar situation due to significant exam stress, which caused my period to be delayed for a while.
I eventually consulted a doctor who administered a medication to induce menstruation.
Since I am retaking the exam and feeling quite stressed, I am wondering if this situation is similar to last time.
What should I do? Should I continue to wait or should I see a doctor sooner? Thank you, Doctor.

Juan, 20~29 year old female. Ask Date: 2004/12/03

Dr. Mao Yikun reply Obstetrics and Gynecology

Hello: If it has been a long time since your last visit, you should schedule a gynecological examination.

Reply Date: 2004/12/03

More Info

Missed periods can be a source of anxiety and concern for many individuals, especially when they have experienced similar situations in the past. In your case, it seems that you are experiencing a missed period, which was due to stress in the past. Stress can indeed have a significant impact on the menstrual cycle, leading to irregularities such as missed periods.
There are several potential causes for a missed period, and understanding these can help you determine the best course of action. Here are some common reasons for missed periods:
1. Stress: As you mentioned, stress can disrupt the hormonal balance in your body, affecting the hypothalamus, which regulates the menstrual cycle. High levels of stress can lead to delayed or missed periods.

2. Weight Changes: Significant weight loss or gain can also affect your menstrual cycle. If you have changed your diet or exercise routine recently, this could be a contributing factor.

3. Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular periods. Hormonal contraceptives can also affect your cycle.

4. Pregnancy: If there is a possibility of pregnancy, this is a primary reason to consider. A missed period is often one of the first signs of pregnancy.

5. Medical Conditions: Certain medical conditions, such as diabetes or eating disorders, can also lead to missed periods.

Given your history of stress-related missed periods, it is possible that your current situation may be similar. However, it is essential to consider other factors as well.

What Should You Do Next?
1. Take a Pregnancy Test: If there is any chance that you could be pregnant, it is advisable to take a home pregnancy test. These tests are generally accurate and can provide you with peace of mind.

2. Monitor Your Symptoms: Keep track of any other symptoms you may be experiencing, such as changes in mood, weight, or physical health. This information can be helpful when discussing your situation with a healthcare provider.

3. Consider Stress Management: Since stress has been a factor in your previous missed periods, consider implementing stress-reduction techniques such as mindfulness, yoga, or talking to a counselor. Managing stress can help regulate your menstrual cycle.

4. Consult a Healthcare Provider: If your period does not arrive soon, or if you have concerns about your health, it is a good idea to consult a healthcare provider. They can perform a thorough evaluation, including blood tests to check hormone levels, and provide guidance on how to manage your situation.

5. Don’t Wait Too Long: If you are feeling anxious or if your period is significantly delayed, it is better to seek help sooner rather than later. A healthcare provider can help determine the underlying cause and suggest appropriate treatment options.

In conclusion, while stress is a likely factor in your missed period, it is essential to rule out other potential causes. Taking a proactive approach by monitoring your symptoms, considering a pregnancy test, and consulting a healthcare provider will help you navigate this situation more effectively. Remember, your health and well-being are paramount, and seeking help is a positive step towards understanding and managing your menstrual health.

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