Missed Period Since March: When to Seek Medical Advice?

Menstruation has not occurred since March?

My daughter hasn't had her period since March.
She says she hasn't engaged in sexual activity, and it might be due to the stress of preparing for her midterm exams.
However, now that the exams are over, she still hasn't gotten her period.
Should we continue to wait and observe? If a clinic visit is necessary, what are the differences in treatment approaches between the "Women's Health Center," "Traditional Chinese Medicine for Women's Health," and "Obstetrics and Gynecology"?

jì, 20~29 year old female. Ask Date: 2005/07/11

Dr. Xu Li'an reply Family Medicine

Dear Keeper, stress can potentially lead to irregular menstrual cycles.
If the stress has been alleviated but menstruation has not resumed, it is advisable to schedule an appointment with a gynecologist.
They can perform blood tests, urine tests, and ultrasounds.
If you choose to see a traditional Chinese medicine practitioner, they may not be able to conduct these tests.
As for women's health centers, it depends on the specialty in charge.
If your period has started, you may not need to undergo any tests for the time being.
Otherwise, it is recommended not to wait any longer, as early diagnosis and treatment can be beneficial.
Wishing you and your family good health.

Reply Date: 2005/07/11

More Info

Missed periods can be concerning, especially when they persist for an extended period. In your daughter's case, since she has not had her period since March and reports no sexual activity, it is essential to consider various factors that could contribute to this situation. Stress, particularly from academic pressures like preparing for exams, can indeed disrupt the menstrual cycle. However, if the period does not return after a reasonable time, it is advisable to seek medical advice.

In general, if a young woman misses her period for three consecutive cycles or more, it is recommended to consult a healthcare provider. This is particularly important if there are other symptoms present, such as significant weight changes, excessive fatigue, or any signs of hormonal imbalance. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal issues could be at play, and a healthcare professional can help diagnose and manage these conditions.

Regarding your question about which department to visit, here’s a breakdown of the options:
1. Women's Health Center: This center typically focuses on preventive care, education, and general health issues related to women. They may provide counseling on menstrual health, lifestyle modifications, and general gynecological concerns. If your daughter’s situation is primarily about missed periods without any other significant symptoms, this could be a good starting point.

2. Traditional Chinese Medicine (TCM) Women's Health: If you are interested in alternative approaches, TCM may offer herbal remedies and acupuncture to help regulate menstrual cycles. Practitioners may focus on balancing the body's energy (Qi) and addressing underlying issues through natural methods. However, it is essential to ensure that any treatment is safe and appropriate for your daughter’s specific situation.

3. Obstetrics and Gynecology (OB/GYN): This is the most comprehensive option for evaluating menstrual irregularities. An OB/GYN can perform a thorough examination, order necessary tests (like blood tests or ultrasounds), and provide a diagnosis. They can also discuss treatment options, which may include hormonal therapies if needed. This department is particularly recommended if there are additional symptoms or if the missed periods continue.

In conclusion, while it may be reasonable to wait a little longer to see if your daughter's period returns, it is crucial to monitor her overall health and any accompanying symptoms. If the period does not resume soon, or if you have any concerns about her health, seeking medical advice is the best course of action. Each of the departments mentioned has its strengths, but for a comprehensive evaluation of menstrual irregularities, an OB/GYN visit would likely be the most beneficial.

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