Missed Period: When to See a Doctor for Menstrual Concerns?

Menstruation has not occurred?

Hello Doctor: My last menstrual period started on July 10th, but today is August 19th and I still haven't gotten my period.
However, I have been experiencing breast tenderness for a week now, but my period still hasn't arrived.
My menstrual cycles are usually very regular.
Should I see a doctor, or should I wait? How long should I wait before seeing a doctor if my period doesn't come?

Meng, 20~29 year old female. Ask Date: 2015/08/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle are numerous, including lifestyle, stress, emotional instability, diet, age, and more.
The symptoms you mentioned do not provide enough information to determine whether menstruation will occur.
Since your period is already a week late, it is advisable to consult a gynecologist for an examination to check for hormonal imbalances or early pregnancy.
Thank you! Wishing you safety and health.
Dr.
Zhang.

Reply Date: 2015/08/19

More Info

When it comes to menstrual concerns, particularly missed periods, it is essential to understand the various factors that can contribute to changes in your menstrual cycle. A missed period can be a source of anxiety, especially if your cycles have been regular in the past. In your case, since your last period was on July 10 and you have not had a period by August 19, it is understandable that you are concerned.

Firstly, it is important to note that a missed period can be caused by a variety of factors, including stress, hormonal imbalances, changes in weight, excessive exercise, and medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Additionally, pregnancy is a common reason for a missed period, especially if you are sexually active. The breast tenderness you are experiencing can also be a symptom associated with hormonal changes, which can occur for various reasons, including the onset of menstruation or pregnancy.

In general, if you have missed your period for more than a week and have symptoms such as breast tenderness, it is advisable to take a home pregnancy test to rule out pregnancy as a cause. If the test is negative and your period still does not arrive, it is a good idea to consult with a healthcare provider. Most healthcare professionals recommend seeing a doctor if you have missed your period for more than three cycles or if you experience other concerning symptoms, such as severe pain, unusual discharge, or significant changes in your health.

When you visit a doctor, they will likely take a detailed medical history, perform a physical examination, and may order blood tests or imaging studies to determine the underlying cause of your missed period. It is crucial to communicate any other symptoms you may be experiencing, such as changes in weight, mood swings, or any medications you are taking, as these can provide important clues to your healthcare provider.

In summary, while it is common for menstrual cycles to fluctuate occasionally, a missed period lasting more than a week, especially if accompanied by other symptoms, warrants a visit to your healthcare provider. They can help you understand the reasons behind your missed period and guide you on the appropriate next steps. Remember, your menstrual health is an important aspect of your overall well-being, and seeking medical advice is a proactive step towards maintaining it.

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