Menstrual Irregularities: When to See a Doctor - Obstetrics and Gynecology

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Menstruation


I would like to ask the doctor: I did not come in for the entire month of May this year, and I came on June 10th.
Does this matter? Do I need to see a doctor? Thank you.

ksz011563, 20~29 year old female. Ask Date: 2011/06/14

Dr. Lü Lizheng reply Obstetrics and Gynecology


Hello, if the menstrual flow is normal and pregnancy is ruled out, you can observe and monitor the situation until the next menstrual cycle.
However, if the flow is abnormal, whether too heavy or too light, it is necessary to consult a doctor.
If the flow is normal and pregnancy is confirmed to be absent, you can first observe and then check the situation in the next menstrual cycle.
If the flow is abnormal, whether too heavy or too light, you should see a doctor.
Sincerely, Lu Lizheng.

Reply Date: 2011/06/14

More Info


Menstrual irregularities can be concerning and often lead to questions about when it is appropriate to seek medical advice. In your case, experiencing a missed period for an entire month followed by a late period can be indicative of several underlying issues. It’s important to understand that menstrual cycles can be influenced by a variety of factors, including stress, hormonal imbalances, lifestyle changes, and underlying health conditions.

First, let’s discuss what constitutes a normal menstrual cycle. A typical menstrual cycle ranges from 21 to 35 days, with an average length of about 28 days. However, variations are common, and cycles can sometimes be irregular due to various reasons. If you have missed your period for a month and then experienced it later, it could be a sign of an irregular cycle, which may not necessarily indicate a serious problem.
However, there are several reasons why you might experience menstrual irregularities:
1. Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular periods. Hormonal fluctuations can also occur due to stress or significant weight changes.

2. Pregnancy: If there is a possibility of pregnancy, a missed period is often the first sign. It would be advisable to take a pregnancy test if you are sexually active.

3. Stress and Lifestyle Factors: High levels of stress, changes in diet, excessive exercise, or significant life changes can impact your menstrual cycle.

4. Medical Conditions: Certain medical conditions, such as diabetes or eating disorders, can also affect your menstrual cycle.

Given your situation, it is advisable to monitor your menstrual cycle closely. If you experience any of the following symptoms, it would be prudent to see a doctor:
- Persistent Irregularities: If your periods continue to be irregular over the next few months.

- Severe Pain: If you experience significant pain during your menstrual cycle that is not typical for you.

- Heavy Bleeding: If you notice an increase in the heaviness of your menstrual flow or if you need to change your pad or tampon every hour.

- Other Symptoms: If you experience symptoms such as unexplained weight gain or loss, excessive hair growth, or changes in skin texture.

In conclusion, while occasional irregularities can be normal, it is essential to pay attention to your body and any accompanying symptoms. If you are concerned about your menstrual cycle or if it continues to be irregular, it is wise to consult with a healthcare provider. They can perform necessary evaluations, including blood tests or imaging studies, to determine if there is an underlying condition that needs to be addressed. Remember, your health is important, and seeking medical advice when in doubt is always a good decision.

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