Delayed Menstruation: Causes and Solutions - Obstetrics and Gynecology

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Delayed menstruation can be a concerning issue for many women, and understanding the potential causes is crucial for addressing the situation effectively. In your case, with the last menstrual period recorded from May 21 to May 27, 2015, and no sexual activity since then, there are several factors that could contribute to the absence of menstruation.

1. Hormonal Imbalance: One of the most common causes of delayed menstruation is hormonal imbalance. The menstrual cycle is regulated by a complex interplay of hormones, including estrogen and progesterone. Factors such as stress, significant weight loss or gain, and changes in physical activity can disrupt this balance, leading to irregular or missed periods.

2. Polycystic Ovary Syndrome (PCOS): PCOS is a common endocrine disorder that can cause irregular menstrual cycles. Women with PCOS may experience symptoms such as weight gain, acne, and excessive hair growth. If you have any of these symptoms, it may be worth discussing with your healthcare provider.

3. Thyroid Issues: The thyroid gland plays a significant role in regulating metabolism and can affect menstrual cycles. Hypothyroidism (an underactive thyroid) can lead to delayed menstruation, while hyperthyroidism (an overactive thyroid) can also cause irregularities. A simple blood test can determine if your thyroid levels are normal.

4. Stress and Lifestyle Factors: Emotional and physical stress can significantly impact your menstrual cycle. High-stress levels can lead to the release of cortisol, which can interfere with the hormones that regulate menstruation. Additionally, lifestyle factors such as excessive exercise or poor nutrition can also contribute to delayed periods.

5. Medications: Certain medications, including hormonal contraceptives and some psychiatric medications, can affect menstrual cycles. If you have started any new medications recently, it may be worth discussing with your doctor.

6. Underlying Health Conditions: Conditions such as diabetes, celiac disease, or other chronic illnesses can also affect menstrual regularity. If you have any other symptoms or health concerns, it may be beneficial to undergo a comprehensive evaluation.

7. Age and Menopause: Although you mentioned that your last period was in 2015, it’s important to consider that age can also play a role in menstrual irregularities. As women approach menopause, they may experience changes in their menstrual cycles, including missed periods.

Given that you have been experiencing delayed menstruation for an extended period, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend blood tests to check hormone levels, thyroid function, and other potential underlying issues.
In the meantime, maintaining a healthy lifestyle, managing stress, and ensuring proper nutrition can help support your overall reproductive health. If you have been taking traditional Chinese medicine (TCM) to regulate your body, it may also be beneficial to discuss your ongoing symptoms with your TCM practitioner, as they may have additional insights or adjustments to your treatment plan.

In conclusion, while there are various potential causes for delayed menstruation, a thorough evaluation by a healthcare provider is essential to determine the underlying issue and appropriate treatment. It’s important to address any concerns you may have, as early intervention can often lead to better outcomes.