Delayed Menstruation: Causes and Concerns for Women

Menstrual delay

Hello doctor, I got my period on December 4th and it ended on December 10th.
My period started again on January 4th and ended on January 11th, then I got my period on February 3rd and it ended on February 11th.
My menstrual cycle is not very regular, but previously it ranged from a minimum of 18 days to a maximum of 23 days, lasting 9 to 10 days.
I have seen a doctor before who said it was normal since I have not had children yet.
On February 20th, I had sexual intercourse with a condom, but I pulled out after a few thrusts because I was uncomfortable (there was no ejaculation).
However, my period was supposed to come this month but has been delayed.
I took Si Wu Tang (a traditional Chinese herbal medicine) because a classmate said it would induce menstruation the next day, but it still hasn’t come.
On March 11th, I took a pregnancy test which immediately showed negative, and after waiting for 3 minutes, it remained the same.
Recently, I have been experiencing abdominal discomfort and the feeling that my period is about to come, but I only have discharge (today it is slightly white and yellow).
What is the likelihood of pregnancy in this situation? Or could it be that recent stress or irregular eating and sleeping patterns are causing the delayed period? About 4.5 years ago, I had a continuous menstrual cycle, and the doctor said it was due to excessive stress.
After taking medication and receiving injections, my cycle returned to normal.

Niming, 10~19 year old female. Ask Date: 2016/03/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances are slim.
You should wait; it is likely that you are not pregnant.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/03/12

More Info

Delayed menstruation can be a source of concern for many women, especially when it deviates from their regular cycle. In your case, you have a history of irregular cycles, with your menstruation typically occurring every 18 to 23 days. Given that your last period started on February 3 and ended on February 11, and you have not seen your period since, it is understandable that you are worried.

There are several potential causes for delayed menstruation, and it is essential to consider them in the context of your overall health and lifestyle. Here are some common factors that could contribute to your situation:
1. Stress: You mentioned experiencing stress in the past, which has been linked to menstrual irregularities. Stress can affect the hypothalamus, the part of the brain that regulates hormones related to the menstrual cycle. If you are currently under stress, it could be a significant factor in your delayed menstruation.

2. Diet and Sleep: Changes in your diet or sleep patterns can also impact your menstrual cycle. If you have not been eating well or have experienced disruptions in your sleep, these factors can lead to hormonal imbalances that may delay your period.

3. Physical Health: Any underlying health issues, such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances, can also cause irregularities in your menstrual cycle. If you have a history of such conditions, it may be worth discussing them with a healthcare provider.

4. Pregnancy: Although you mentioned using a condom during intercourse and that there was no ejaculation, it is important to note that no contraceptive method is 100% effective. The negative pregnancy test you took on March 11 is a good indication that you are not pregnant, but if your period does not arrive soon, you may want to retest or consult a healthcare provider for further evaluation.

5. Medications and Supplements: You mentioned taking "四物粉" (a traditional Chinese herbal remedy). While some women find relief from menstrual symptoms using herbal supplements, it is essential to understand that these remedies can have varying effects on different individuals. If you are unsure about the impact of this supplement on your cycle, it may be beneficial to discuss it with a healthcare professional.

Given your history of stress-related menstrual irregularities, it is plausible that your current situation may be influenced by similar factors. It is advisable to monitor your symptoms closely. If your period does not arrive within a reasonable timeframe, or if you experience severe pain or other concerning symptoms, seeking medical advice would be prudent.

In summary, while there are several potential causes for your delayed menstruation, stress, lifestyle changes, and hormonal imbalances are significant contributors. Keep track of your symptoms, and do not hesitate to reach out to a healthcare provider if you have ongoing concerns or if your situation does not improve. Regular check-ups can help ensure that any underlying issues are addressed promptly, allowing you to maintain your reproductive health.

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