57 Days Late: Irregular Periods and When to Seek Help

Q: 57 Days Late: Irregular Periods and When to Seek Help

Hello： A pregnancy test on January 16 was negative, but if you wait another week and test again, if it is still negative, it is recommended to induce menstruation.

Menstruation has been absent for 57 days?

My last menstrual period started on November 24.
I had protected intercourse on December 11 and 12.
After the intercourse on December 12, there was slight bleeding, and my period for December did not arrive.
I had another protected intercourse on January 15, and I took a pregnancy test on January 16 due to the delay, but it was negative.
I still have not gotten my period, and recently I have noticed an increase in discharge.
Is this normal? Should I get checked for menstrual irregularities? Do I need to take another pregnancy test?

Jue, 10~19 year old female. Ask Date: 2016/01/20

Dr. Lin Manying reply Obstetrics and Gynecology

Hello: A pregnancy test on January 16 was negative, but if you wait another week and test again, if it is still negative, it is recommended to induce menstruation.

Reply Date: 2016/01/20

More Info

Irregular menstrual cycles can be concerning, especially when you experience a significant delay like 57 days. In your case, it seems that you have had unprotected sexual encounters, but you also mentioned using condoms, which significantly reduces the risk of pregnancy. However, it’s important to consider several factors that could contribute to your irregular periods.

Firstly, stress is a common factor that can disrupt your menstrual cycle. Emotional or physical stress can lead to hormonal imbalances, which may result in delayed or missed periods. Additionally, changes in weight, whether it be weight loss or gain, can also affect your menstrual cycle. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular periods as well.

You mentioned experiencing light bleeding after your sexual encounter on December 12, which could be a sign of various things, including hormonal fluctuations or even implantation bleeding if there was a chance of pregnancy. However, since you have tested negative for pregnancy, this is less likely to be the case.

Regarding your increased vaginal discharge, this can be normal and may not necessarily indicate a problem. However, if the discharge has changed in color, consistency, or has an unpleasant odor, it could be a sign of an infection, and you should seek medical advice.

Given that your period has been absent for over two months, it would be prudent to consult with a healthcare provider. They can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly an ultrasound to assess your reproductive organs. This will help determine if there are any underlying conditions that need to be addressed.

As for whether you should take another pregnancy test, it might be a good idea, especially if you have any concerns about the possibility of being pregnant. Home pregnancy tests are generally reliable, but if you are still unsure, a blood test at your doctor’s office can provide a more definitive answer.

In summary, while some irregularity can be normal, especially in younger women or those experiencing significant life changes, a 57-day delay is worth investigating. Consulting with a healthcare provider will help clarify your situation and ensure that any potential issues are addressed promptly. Remember, your menstrual health is an important aspect of your overall well-being, and seeking help is always a good step when something feels off.

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