Missed Period and Chest Pain: Your Symptoms

Chest pain can occur when menstruation is delayed?

Hello, doctor.
Last month was October 26, but my menstrual cycle is 26 days, and my period hasn't come yet.
I feel a dull pain in my heart, and I'm not sure if it's related to the cough medicine I took.
I really hope my period comes soon.
Is there any medication I can take to induce it? Also, if I experience a brief heart pain after intercourse, does that indicate a heart problem? Thank you.

huanzhe, 40~49 year old female. Ask Date: 2015/11/19

Dr. Lin Wenbin reply Obstetrics and Gynecology

Today is only November 19th; didn't you say it would take 26 days? The date hasn't arrived yet.
Chest pain needs to be evaluated.

Reply Date: 2015/11/19

More Info

It sounds like you're experiencing a combination of symptoms that can be concerning, particularly the missed period and chest pain. Let's break down your symptoms and provide some insights based on medical knowledge.

Firstly, a missed period can be caused by various factors, including hormonal imbalances, stress, significant weight changes, or medical conditions like polycystic ovary syndrome (PCOS). If your menstrual cycle is typically 26 days and you’ve missed it, it might be worth considering factors such as stress levels, recent changes in your lifestyle, or any medications you are taking, including cough medicine. Some medications can indeed affect your menstrual cycle, so it’s essential to review any recent changes with your healthcare provider.

Regarding your chest pain, it’s crucial to approach this symptom with caution. Chest pain can arise from various causes, ranging from benign issues like muscle strain or anxiety to more serious conditions involving the heart or lungs. If the pain is persistent or worsening, or if you experience additional symptoms such as shortness of breath, dizziness, or radiating pain to the arms or jaw, it is vital to seek medical attention immediately.
You mentioned that your heart feels "dull" and painful, which could be related to anxiety or stress, especially if you are feeling overwhelmed by the missed period and its implications. Anxiety can manifest physically, leading to sensations of chest tightness or pain. However, it’s essential to rule out any cardiac issues, particularly if you have a history of heart problems or risk factors such as smoking, high blood pressure, or a family history of heart disease.

As for the question about whether you can take medication to induce your period, it’s crucial to consult with a healthcare provider before taking any medication. There are hormonal treatments available that can help regulate your cycle, but these should only be taken under medical supervision to ensure they are appropriate for your situation.

Regarding the chest pain experienced after sexual activity, this can sometimes occur due to increased heart rate and blood pressure during physical exertion. If the pain is brief and resolves quickly, it may not be a cause for concern. However, if you experience significant discomfort or if the pain persists, it would be wise to discuss this with your doctor to rule out any underlying issues.

In summary, I recommend that you schedule an appointment with your healthcare provider to discuss your missed period and chest pain in detail. They may suggest tests such as a pregnancy test, blood work to check hormone levels, or imaging studies to evaluate your heart and lungs. It’s essential to address both your menstrual irregularities and chest pain to ensure you receive appropriate care and peace of mind. Remember, your health is paramount, and seeking professional guidance is the best course of action.

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