Irregular Periods: Delayed Menstruation and Symptoms Explained - Obstetrics and Gynecology

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Menstrual issues


My menstrual cycle is not very regular, but I usually have my period around the same time each month.
However, this time my period is already 11 days late.
I had sexual intercourse last month and took a pregnancy test two days ago, which came back negative.
During these days without my period, I've been experiencing bloating, and when I lie on my stomach at night, I feel something pressing against my abdomen.
In the past two days, I've noticed that my discharge has a slight brownish color.
Does this mean my period is about to start? (I had a miscarriage last year.)

H, 20~29 year old female. Ask Date: 2016/03/11

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if your period is delayed for more than a week, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/03/11

More Info


Irregular menstruation can be a source of concern for many women, and it is essential to understand the various factors that can contribute to changes in your menstrual cycle. In your case, experiencing an 11-day delay in your period, along with symptoms such as abdominal bloating and brown discharge, can be indicative of several possibilities.

Firstly, it is important to note that menstrual cycles can be influenced by a variety of factors, including hormonal fluctuations, stress, changes in lifestyle, diet, and even underlying health conditions. Given that you mentioned having had a miscarriage last year, it is also crucial to consider how this may have affected your menstrual cycle. After a miscarriage, it is not uncommon for women to experience irregular periods as their bodies adjust and recover.

The brown discharge you are observing could be old blood that is taking longer to exit the body, which is often seen at the beginning or end of a menstrual period. It can also occur when the menstrual flow is lighter than usual. This type of discharge is generally not a cause for concern, especially if it is accompanied by other premenstrual symptoms like bloating and breast tenderness.

Since you have already taken a pregnancy test that returned negative, it is less likely that you are pregnant. However, if your period does not arrive soon, or if you continue to experience unusual symptoms, it would be wise to consult with a healthcare provider. They can perform a more thorough evaluation, including a pelvic exam or ultrasound if necessary, to rule out any potential issues such as hormonal imbalances, ovarian cysts, or other reproductive health concerns.

Additionally, stress and lifestyle changes can significantly impact your menstrual cycle. If you have experienced any recent changes in your life, such as increased stress, changes in weight, or alterations in your exercise routine, these could also contribute to your delayed period.
In summary, while an 11-day delay in menstruation can be concerning, it is essential to consider the broader context of your health and lifestyle. The brown discharge and abdominal bloating you are experiencing may be related to your menstrual cycle's natural variations. However, if these symptoms persist or worsen, seeking medical advice is recommended to ensure that there are no underlying health issues that need to be addressed. Regular check-ups with a healthcare provider can help monitor your menstrual health and provide peace of mind.

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