Irregular Periods: When to Seek Medical Advice - Obstetrics and Gynecology

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Irregular periods can be concerning, and it's important to understand what might be happening with your menstrual cycle. Based on the information you've provided, your menstrual cycle appears to be irregular, with significant gaps between periods. A typical menstrual cycle ranges from 21 to 35 days, with an average of about 28 days. However, cycles can vary widely among individuals and can be influenced by various factors, including stress, hormonal imbalances, weight changes, and underlying health conditions.

Your cycle dates indicate that you had your last period on January 19, then again on February 23, and then on April 16. This suggests that your cycles are not only irregular but also longer than the typical cycle length. Since you mentioned that your period has not arrived since April 16, it would be advisable to take a pregnancy test, especially since you had unprotected intercourse on May 9. Although you used a condom, there is still a small risk of pregnancy if the condom was not used properly or if there was any breakage.
If the pregnancy test is negative and your period still does not arrive, it would be wise to consult a healthcare provider. They can help determine the cause of your irregular periods and whether any underlying issues need to be addressed. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can lead to irregular menstrual cycles.
In addition to seeking medical advice, consider keeping a menstrual diary. This can help track your cycle patterns, symptoms, and any other relevant factors, such as stress levels or significant lifestyle changes. This information can be very helpful for your healthcare provider in diagnosing any potential issues.

In summary, while irregular periods can sometimes be normal, especially during times of stress or significant life changes, it is important to monitor your body and seek medical advice if your cycles remain irregular or if you have concerns about pregnancy. Regular check-ups with a healthcare provider can help ensure that any potential issues are addressed early on, allowing for appropriate management and treatment.