Delayed Menstruation: Pregnancy or Just a Cycle Change?

Menstrual delay

My girlfriend's period is over two weeks late, and she recently mentioned experiencing sudden stomach pain, but she still feels like her period is coming.
Could she be pregnant or is her period just delayed? She sometimes has stomach pain and feels bloated in her lower abdomen, which is a bit concerning.
I would like to clarify this.

Mi, 20~29 year old female. Ask Date: 2010/10/27

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, I recommend that your girlfriend first take a urine pregnancy test.
Once pregnancy is confirmed or ruled out, treatment with medication and menstrual regulation can be considered based on her symptoms.
Some women may experience gastrointestinal symptoms due to hormonal imbalances, but early pregnancy can also present similar symptoms.
Thank you! Dr.
Zhang

Reply Date: 2010/10/27

More Info

When it comes to understanding delayed menstruation, it is essential to consider various factors that could contribute to this condition. Your girlfriend's situation, where her period is over two weeks late and she is experiencing symptoms such as stomach pain and a sensation of bloating in the lower abdomen, raises several possibilities.
Firstly, pregnancy is a primary consideration when menstruation is delayed. If your girlfriend is sexually active and there is a possibility of conception, it would be prudent for her to take a home pregnancy test. These tests are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. If the test is positive, it would confirm pregnancy.
However, it is also important to note that menstrual cycles can be affected by various factors other than pregnancy. Stress, significant weight changes, hormonal imbalances, and underlying health conditions can all lead to delayed menstruation. For instance, conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can disrupt the regularity of menstrual cycles.
The stomach pain your girlfriend is experiencing could be related to several issues. It might be a symptom of premenstrual syndrome (PMS), which can occur even when menstruation is delayed. PMS can cause various symptoms, including abdominal cramps, bloating, and mood swings. Alternatively, the stomach pain could be unrelated to her menstrual cycle and might indicate gastrointestinal issues, such as indigestion or gastritis, especially if the pain is persistent or severe.

Given that your girlfriend has been experiencing these symptoms, it would be advisable for her to consult a healthcare provider. A medical professional can perform a thorough evaluation, including a physical examination and possibly blood tests, to determine the cause of her symptoms. They may also conduct a pelvic exam or an ultrasound if necessary to rule out any potential complications, such as an ectopic pregnancy or ovarian cysts.

In summary, while pregnancy is a significant possibility given the delayed menstruation, it is not the only explanation. Other factors, including stress, hormonal changes, and gastrointestinal issues, could also be at play. Encouraging your girlfriend to take a pregnancy test and seek medical advice would be the best course of action to address her concerns and ensure her health and well-being.

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