Delayed Menstruation: Common Concerns and Solutions

Delayed menstruation?

Hello, Doctor.
I am 26 years old.
My last menstrual period was on January 24, 2009, but I did not have a period in February, and by March 24, I still had not menstruated.
Therefore, on March 21, I bought a home pregnancy test, and the result was negative.
On March 26, I visited a doctor who prescribed Provera 10 mg for me, to be taken once daily for 10 days.
I have taken it for 5 days now.
I have a few questions:
1) Do I need to take another pregnancy test? Are the home pregnancy tests reliable?
2) I usually experience breast tenderness before my period, and I am experiencing it now as well.
Does this indicate that I am not pregnant?
3) Does Provera 10 mg have side effects? Will I only get my period after completing the 10 days of medication?
4) I am feeling noticeable bloating and discomfort in my lower abdomen.
Is this normal?
I apologize for having so many questions.
Thank you for your help!

Xiao Tang, 20~29 year old female. Ask Date: 2009/03/30

Dr. Dai Qihan reply Obstetrics and Gynecology

1.
If it hasn't expired, it is accurate.
2.
You won't know until you test it.
3.
Generally, menstruation will occur 3-7 days after the treatment ends.
4.
If you have concerns, it is recommended to return to the prescribing physician for a follow-up.

Reply Date: 2009/03/30

More Info

Understanding delayed menstruation can be a source of anxiety and confusion for many women. In your case, you have not had your period since January 24, 2009, and after taking a home pregnancy test that came back negative, you consulted a doctor who prescribed Provera (medroxyprogesterone) 10 mg to help induce menstruation. Let’s address your concerns one by one.

1. Need for a Repeat Pregnancy Test: Since you have already taken a home pregnancy test that returned negative, and given that you are now under medical supervision, it is generally not necessary to take another test unless you experience symptoms that suggest pregnancy (such as nausea, increased fatigue, or unusual cravings). Home pregnancy tests are quite reliable when used correctly, especially if taken after a missed period. However, if you have any doubts or if your symptoms change, it may be worth discussing with your doctor.

2. Breast Tenderness: The breast tenderness you are experiencing is a common premenstrual symptom and does not necessarily indicate pregnancy. Hormonal fluctuations can cause breast tenderness, and since you are taking Provera, it may also be a side effect of the medication. It’s important to note that breast tenderness alone is not a definitive sign of pregnancy or the absence of it.

3. Side Effects of Provera: Provera is a synthetic form of progesterone, and while it is effective in inducing menstruation, it can have side effects. Common side effects include breast tenderness, bloating, mood changes, and irregular bleeding. It is typical for menstruation to occur within a few days to a week after completing the course of Provera. Therefore, it is advisable to complete the full 10-day course as prescribed by your doctor. If you do not get your period after finishing the medication, you should follow up with your healthcare provider.

4. Abdominal Bloating: Feeling bloated in the lower abdomen can be a normal response to hormonal changes, especially when taking medications like Provera. This bloating can be due to fluid retention or changes in your digestive system caused by hormonal fluctuations. If the bloating is severe or accompanied by pain, it is important to consult your doctor to rule out any other underlying issues.

In summary, it is essential to follow your doctor’s instructions regarding the use of Provera and to monitor your symptoms. If you have any concerns about your health or the side effects you are experiencing, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide personalized advice based on your medical history and current condition. Remember, delayed menstruation can be caused by various factors, including stress, hormonal imbalances, and lifestyle changes, so it’s crucial to approach this situation with care and professional support.

Similar Q&A

Understanding Delayed Menstruation: Common Questions and Concerns

Hello, doctor. I would like to ask about my delayed menstruation issue. My cycle is usually 32 days. My last period was from June 6 to June 11, and this cycle should have been from July 7 to July 12. However, it has been "delayed for 4 days" as of today. (I had sexual i...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, a pregnancy test is usually reliable only after 12 days post-conception. The chances of pregnancy are low, and it may feel similar to when menstruation is about to start. Taking cold medication is unrelated to menstruation. It is best to use preventive measures beforehand....

Understanding Delayed Menstruation: Common Causes and Concerns

Hello, I would like to ask about my situation. My boyfriend and I are still in the dating phase and have not engaged in actual sexual intercourse; we have only been intimate through touching. Last month, my period was delayed by a week due to exam stress (it started on January 14...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: Women often experience hormonal imbalances affecting their menstrual cycle due to physiological and psychological stress after illness. Other factors such as environment, lifestyle, emotions, diet, and age can also contribute. It is advisable to consult a p...

Understanding Menstrual Irregularities: Causes and Concerns

I finished my menstrual period on June 4th, but I had sexual intercourse on June 8th using a condom, and I checked afterward to ensure it didn't break or leak. My next period was due on June 29th, but it was delayed by five days, and when I took a pregnancy test on July 4th,...

Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, conditions such as hormonal imbalances or uterine fibroids, as well as psychological factors like stress from academics, work, or daily life, can all affect the menstrual cycle. It is recommended to maintain a regular lifestyle, avoid staying up late, ensure adequate sleep...

Understanding Delayed Menstruation: Causes and When to Seek Further Help

Hello, doctor. My menstrual cycle is usually 34 days, and today is March 10, making it 43 days since my last period. The last sexual intercourse was on March 2 (with protection). I took a pregnancy test on the morning of March 9, which was negative. I visited an obstetrics and gy...

Dr. Wu Xianghui reply Obstetrics and Gynecology
The female menstrual cycle is influenced by various external factors such as stress, infections, and surgeries. Regarding menstrual issues, it is recommended to monitor the situation for one to two months or until evaluated by a specialist in an outpatient setting.