Delayed Menstruation: Pregnancy or Stress?

Delayed menstruation?

Hello doctor, my menstrual cycle has been irregular, but it started to normalize in July, coming on the 13th or 14th of each month: July 14, August 13, September 14, October 14, and November 13.
I was supposed to get my period on December 13 or 14, but it is now five days late.
I had sexual intercourse on December 5 and 6 with withdrawal method, and sometimes I use masturbation instead.
Recently, I ate something spoiled and went to see a doctor, who diagnosed me with gastroenteritis and prescribed medication.
However, my period still hasn't come.
I used a pregnancy test, and the results were negative (I bought two of the same brand; I initially used the first one incorrectly but got it right in the end, which showed one line.
The second one had a very faint line, but I wasn't sure if it was just my eyes playing tricks on me.
Within 30 minutes, it showed one line, but upon closer inspection, it sometimes looked like there was a second line, though others said it was just one line.
Later, I bought a different brand of pregnancy test, and it clearly showed only one line).
Can you please tell me why my period is late? I've been under a lot of stress in November and December, and I often have trouble sleeping.
Is it possible that I am pregnant, or is it due to stress?

Shang, 10~19 year old female. Ask Date: 2015/12/19

Dr. Lü Lizheng reply Obstetrics and Gynecology

If the pregnancy test result is uncertain, it is recommended to take another test after a week.
If it is confirmed that you are not pregnant, it is likely due to irregular menstruation, which can also be caused by high stress.
It is advisable to seek medical evaluation.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/12/19

More Info

Delayed menstruation can be a source of significant anxiety, especially when there are concerns about potential pregnancy or the impact of stress on your body. Based on the information you've provided, it seems that you have experienced a regular menstrual cycle recently, but now you are facing a delay of five days. You mentioned having unprotected sexual intercourse, albeit with the method of withdrawal, which can still carry a risk of pregnancy. However, you have also experienced stress and health issues, such as gastroenteritis, which can further complicate your situation.

Firstly, it’s important to understand that stress can indeed affect your menstrual cycle. The body responds to stress by releasing hormones such as cortisol, which can interfere with the normal hormonal balance required for ovulation and menstruation. This means that even if you have had a regular cycle, significant stress or changes in your routine can lead to delays in your period. Additionally, factors such as illness, changes in diet, and sleep disturbances can also contribute to menstrual irregularities.

Regarding your concerns about pregnancy, it’s essential to consider the reliability of the pregnancy tests you have taken. Home pregnancy tests are generally accurate, especially when taken after a missed period. However, if you are testing too early or if the test is not used correctly, it may yield a false negative result. You mentioned that you saw a faint line on one of the tests, which could indicate a very early pregnancy, but it’s crucial to follow up with a healthcare provider for a blood test, which is more sensitive and can provide a definitive answer.

Given your situation, here are some steps you can take:
1. Consult a Healthcare Provider: Since you have already experienced some health issues, it would be wise to consult a healthcare provider. They can perform a blood test to confirm or rule out pregnancy and assess any other underlying health issues that may be affecting your menstrual cycle.

2. Manage Stress: Since stress can significantly impact your menstrual cycle, consider incorporating stress management techniques into your routine. This could include mindfulness practices, yoga, regular exercise, or talking to a therapist. Finding healthy outlets for stress can help regulate your body’s hormonal balance.

3. Monitor Your Symptoms: Keep track of any additional symptoms you may experience, such as changes in appetite, mood swings, or physical discomfort. This information can be helpful for your healthcare provider in determining the cause of your delayed menstruation.

4. Consider Lifestyle Factors: Evaluate your lifestyle for any changes that may have occurred recently, such as changes in diet, sleep patterns, or physical activity. Addressing these factors can also help in regulating your menstrual cycle.

5. Follow Up on Pregnancy Tests: If your period does not arrive soon, consider taking another pregnancy test a few days after your missed period or consult your healthcare provider for further testing.

In conclusion, while stress and health issues can certainly contribute to delayed menstruation, it’s essential to rule out pregnancy through proper testing and consultation with a healthcare provider. Taking proactive steps to manage stress and monitor your health can help you navigate this challenging situation. Remember, you are not alone in this, and seeking support from friends, family, or professionals can provide comfort and guidance.

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