Delayed Menstruation: Causes and Concerns for Women

Q: Delayed Menstruation: Causes and Concerns for Women

Hello： 1. <br>A negative pregnancy test indicates that your HCG hormone levels are low, meaning you are not pregnant or that fertilization has just occurred but HCG levels have not yet risen. <br>If you are truly concerned about being pregnant and your period does not arrive, you

It has been over a month and my period still hasn't arrived?

Hello, Doctor: Due to my late menstruation, I visited a gynecologist on October 11, where I underwent an ultrasound and urine test.
The results indicated that I am not currently pregnant, but I am still very worried! I would like to ask for your analysis.
My last menstrual period started on August 28, and it has not arrived yet.
I had sexual intercourse during this time, but we used condoms throughout.
Afterward, I noticed a small amount of brownish discharge that resembled blood, but it was very minimal and only occurred occasionally (it has since stopped).
I have previously seen a gynecologist multiple times due to recurrent vulvovaginal candidiasis and found some information suggesting that vaginitis could cause post-coital bleeding due to friction.
During my recent visit, I only mentioned my late menstruation to the doctor.
However, my August period was also about four days late (it started on July 19), and I did not mention the discharge.
The doctor performed an ultrasound and told me that my period might take even longer to arrive, attributing it to an issue with the eggs (if I heard correctly).
I was advised to return for further examination or to use a menstrual induction agent if my period does not start by the end of the month.
If the pregnancy test is negative, can I rule out the possibility of pregnancy? Additionally, I would like to ask about the medications for vulvovaginal candidiasis: 1.
SANITATIN & CHENG HOU CREAM “C” (topical) 2.
Teldane 60mg Simeco (Sweicon) (oral) & Chlotin vt (suppository).
These were prescribed by two different doctors for my fungal infection.
What are the effects of these two medications, and what are their Chinese names? Thank you for your patient response, Doctor!

Fanrao, 20~29 year old female. Ask Date: 2005/10/18

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: 1.
A negative pregnancy test indicates that your HCG hormone levels are low, meaning you are not pregnant or that fertilization has just occurred but HCG levels have not yet risen.
If you are truly concerned about being pregnant and your period does not arrive, you may take a pregnancy test once a week.
2.
Different hospitals use different medications, and I am not familiar with the medication you mentioned; please make sure to ask your doctor and pharmacist for clarification when you receive medication during your visit.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/10/18

More Info

Delayed menstruation can be a source of concern for many women, especially when it occurs unexpectedly. In your case, you have experienced a delay in your menstrual cycle, with your last period starting on August 28 and now being overdue. You mentioned having sexual intercourse with the use of condoms, and you have also observed some unusual brownish discharge, which can be alarming.
Firstly, it is important to understand that a delayed menstrual cycle can have various causes. Stress, hormonal imbalances, changes in weight, and even lifestyle changes can all contribute to irregularities in your menstrual cycle. In your situation, you have previously experienced issues with vaginal yeast infections, which can also affect your menstrual cycle and lead to unusual discharge.
The brownish discharge you observed could be old blood, which is not uncommon at the beginning or end of a menstrual period. However, if it is accompanied by discomfort or unusual symptoms, it may warrant further investigation. You mentioned that you have undergone ultrasound and urine tests, which ruled out pregnancy. This is a significant step in alleviating concerns about unintended pregnancy, especially since you used condoms during intercourse.

Regarding your concern about the potential impact of a yeast infection on your menstrual cycle, it is indeed possible for infections to cause changes in discharge and even lead to slight bleeding due to irritation during intercourse. If the discharge was minimal and resolved quickly, it may not be a cause for alarm, but it is always wise to monitor any changes closely.

Your doctor’s advice to wait until the end of the month for another check-up is reasonable, especially since menstrual cycles can vary in length and regularity, particularly as women approach perimenopause. The mention of "egg issues" by your doctor could refer to the natural decline in ovarian function as women age, which can lead to irregular ovulation and consequently, delayed periods.

As for the medications you mentioned for treating your yeast infection, "SANITATIN & CHENG HOU CREAM" is likely an antifungal cream used to treat localized yeast infections, while "Teldane" (which contains the active ingredient terfenadine) is an antihistamine that may have been prescribed to alleviate any allergic reactions or symptoms associated with the infection. "Chlotin" is likely another antifungal treatment. It is essential to follow your healthcare provider's instructions regarding these medications to ensure effective treatment.

In summary, while delayed menstruation can be concerning, it is often not indicative of a severe underlying issue, especially if pregnancy has been ruled out. Factors such as stress, hormonal changes, and infections can all play a role. It is advisable to keep track of your symptoms and follow up with your healthcare provider if your period does not return or if you experience any new or worsening symptoms. Regular check-ups and open communication with your doctor will help you manage your reproductive health effectively.

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