Delayed Menstruation: When to Seek Medical Advice

Delayed menstruation?

My menstrual cycle typically occurs around days 21 to 23.
However, this August, I experienced brown discharge for about 2 to 3 days before my expected period, which then stopped.
I thought my period would start within 1 to 2 days, but it still hasn't arrived.
I've been feeling persistent lower back pain and discomfort in my abdomen.
Should I see a doctor right away or wait a bit longer?

Shan Shan, 10~19 year old female. Ask Date: 2015/09/02

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, since your menstrual period is over a week late, you should see a doctor for an examination in the next few days.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2015/09/02

More Info

Delayed menstruation can be a source of concern for many women, especially when it deviates from their regular cycle. In your case, you mentioned that your menstrual cycle typically ranges from 21 to 23 days, and you experienced some brown discharge for 2 to 3 days in August, followed by an absence of your period. Additionally, you are experiencing discomfort in your lower back and abdomen.
First, it’s important to understand that there are various reasons for a delayed period. Stress, hormonal imbalances, changes in weight, excessive exercise, and medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can all impact your menstrual cycle. Pregnancy is also a common reason for a missed period, especially if you are sexually active.
Given your symptoms of lower back pain and abdominal discomfort, it would be prudent to consider a few factors before deciding whether to seek medical advice immediately. If you have had unprotected intercourse since your last period, it would be wise to take a home pregnancy test. These tests are generally reliable and can provide you with quick answers regarding pregnancy.

If the test is negative and your period still does not arrive, or if you continue to experience discomfort, it is advisable to consult a healthcare professional. They can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly an ultrasound to rule out any underlying conditions.
In general, if you experience any of the following, you should seek medical attention sooner rather than later:
1. Severe abdominal pain or cramping that is not relieved by over-the-counter pain medications.

2. Heavy bleeding or passing large clots.

3. Symptoms of pregnancy, such as nausea, breast tenderness, or fatigue.

4. Any unusual symptoms that concern you, such as fever or unusual discharge.

In summary, while it may be tempting to wait and see if your period arrives, your symptoms warrant a proactive approach. Taking a pregnancy test can provide clarity, and if negative, scheduling an appointment with your healthcare provider can help address any underlying issues. Remember, it’s always better to err on the side of caution when it comes to your health.

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