Delayed Menstruation: When to Seek Further Medical Advice

Delayed menstruation?

I have a delayed period of five days.
I went to the hospital for an examination, and the doctor performed an ultrasound, indicating that it doesn't appear I am pregnant.
They also asked me to take a urine test, which also showed a single line.
Now, it has been seven days since my period was due, but I don't have any cramping in my abdomen.
Occasionally, I feel a bit dizzy, and my breasts are not very tender; I don't feel any signs that my period is about to come.
Should I go to the hospital for another check-up?

yuen chun, 20~29 year old female. Ask Date: 2015/10/14

Dr. Lü Lizheng reply Obstetrics and Gynecology

Since there is no pregnancy, it may be irregular menstruation, and medication adjustment could be considered.
Please seek medical examination.
Sincerely, Dr.
Lyu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/10/14

More Info

Delayed menstruation can be a source of concern for many women, and it's important to understand the various factors that could contribute to this condition. In your case, you mentioned that your period is delayed by seven days, and you have undergone an ultrasound and a urine pregnancy test, both of which indicated that you are not pregnant. However, you are experiencing some mild symptoms such as occasional dizziness and a lack of typical premenstrual symptoms like breast tenderness or cramping.

Firstly, it's essential to recognize that a delay in menstruation can occur for various reasons beyond pregnancy. Common causes include hormonal imbalances, stress, significant weight changes (either loss or gain), excessive exercise, and underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Given that your ultrasound did not show signs of pregnancy, it may be worthwhile to consider these other factors.

Since you are experiencing dizziness, it may be prudent to monitor this symptom closely. Dizziness can sometimes be related to hormonal changes, dehydration, or even anxiety, but it can also indicate other health issues that may need to be addressed. If the dizziness persists or worsens, it would be advisable to seek medical attention.

Regarding your menstrual cycle, if your period does not start within the next few days, or if you experience any additional concerning symptoms (such as severe pain, heavy bleeding, or significant changes in your health), it would be wise to return to your healthcare provider for further evaluation. They may recommend additional tests, such as blood tests to check hormone levels or a more detailed examination to rule out any underlying conditions.

In summary, while a delay of a week can sometimes be normal, especially if you have experienced stress or changes in your routine, it is essential to listen to your body. If you feel uneasy or if your symptoms change, do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and your healthcare provider can help you navigate this situation effectively.

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