Irregular Periods: Possible Causes for Menstrual Cessation

Menstrual period has stopped?

I have been experiencing irregular menstruation for a long time.
The doctor said it was caused by stress.
On February 1st, I had a small amount of menstrual bleeding.
My boyfriend helped me with masturbation, but he did not penetrate me or ejaculate.
Eleven days later, I took a pregnancy test, which was negative.
However, the day after the test, my menstrual bleeding stopped.
In the following two weeks, I had a small amount of brown discharge, and then my period stopped completely.
Is it possible that I am pregnant? If not, what could be the reason for my menstrual bleeding to suddenly stop?

Ms. Huang, 20~29 year old female. Ask Date: 2016/02/20

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you are likely not pregnant; it may be related to ovulation.
If the situation does not improve, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/02/20

More Info

Irregular menstrual cycles can be a source of concern for many individuals, and understanding the underlying causes is essential for proper management and care. In your case, it seems that you have experienced a cessation of menstruation following a period of irregular cycles, and you are understandably worried about the possibility of pregnancy or other underlying issues.

Firstly, it is important to clarify that if you have taken a pregnancy test and it has returned negative, the likelihood of pregnancy is low, especially considering that there was no penetration or ejaculation during the sexual encounter. However, it is crucial to remember that pregnancy tests are most accurate when taken after a missed period, and false negatives can occur, particularly if the test is taken too early.

The cessation of your menstrual cycle, known as amenorrhea, can be attributed to several factors, particularly stress, which you mentioned as a potential cause. Stress can significantly impact hormonal balance, leading to disruptions in the menstrual cycle. The hypothalamus, which regulates the hormones responsible for menstruation, can be affected by stress, resulting in delayed or missed periods. This is often referred to as hypothalamic amenorrhea.

Other potential causes for the sudden cessation of menstruation include:
1. Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular cycles and amenorrhea. Hormonal fluctuations can disrupt the normal menstrual cycle, leading to missed periods.

2. Weight Changes: Significant weight loss or gain can also affect your menstrual cycle. Low body weight, particularly in athletes or individuals with eating disorders, can lead to amenorrhea due to insufficient body fat to support regular hormonal function.

3. Medications: Certain medications, including hormonal contraceptives, can alter your menstrual cycle. If you have recently started or stopped any medications, this could be a contributing factor.

4. Medical Conditions: Other medical conditions, such as diabetes or chronic illnesses, can also impact menstrual regularity. It is essential to consider your overall health and any other symptoms you may be experiencing.

5. Lifestyle Factors: Changes in lifestyle, such as increased physical activity or changes in diet, can also lead to irregular cycles.
Given your situation, it would be advisable to consult with a healthcare provider for a thorough evaluation. They may recommend blood tests to check hormone levels, a pelvic exam, or imaging studies to rule out any underlying conditions. Keeping a record of your menstrual cycle, including any symptoms, stress levels, and lifestyle changes, can also provide valuable information for your healthcare provider.

In summary, while stress is a likely contributor to your irregular periods and subsequent cessation, it is essential to explore other potential causes with a healthcare professional. They can provide personalized advice and treatment options based on your specific situation. Remember, maintaining open communication with your healthcare provider about your concerns and symptoms is key to finding the right solution for your menstrual health.

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