12 Causes of Late Menstruation

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Delayed menstruation is not always a sign of pregnancy, as other situations such as excessive stress, very strong emotions, hormonal changes or even excessive consumption of caffeine or alcohol can lead to delayed menstruation.

Generally, this delay in menstruation can last from 1, 2, 3 or 5 days to 1 to 2 months, and it is recommended to consult your doctor if menstruation continues to be delayed for more than 3 months and you are not pregnant, so that the cause can be identified and treated.

Causes of Late Menstruation

However, if there has been unprotected intimate contact a few days before, you are likely to be pregnant and it is recommended to have a home pregnancy test that can be purchased at the pharmacy to find out if you are really pregnant.

 

Late menstruation and negative pregnancy test

If your period is late and you have performed at least 2 pregnancy tests in the last month, with a 7-day interval between testing, you are very likely not pregnant and the delay in menstruation may be due to other situations such as :

  • Excessive physical activity, as with athletes or people in preparation for some competition or sporting competition;
  • Very restrictive diets;
  • Poor diet or eating disorders such as anorexia or bulimia;
  • Excessive stress;
  • Ovarian changes;
  • Diseases affecting the hypothalamus or pituitary;
  • Hormonal changes caused by polycystic ovarian syndrome, endometriosis, fibroid or even by the morning-after pill;
  • Use of continuous use pill that leads to absence of menstruation;
  • Curettage or surgery in the recent pelvic region;
  • Proximity of menopause, or possibility of early menopause;
  • Postpartum, because menstruation should only return after the woman stops breastfeeding, although it is necessary to use contraceptive methods during menstruation;

Prolonged contraceptive use: There may be no menstruation for 6 months, or 1 year after the contraceptive injection.
These situations can lead to absence of menstruation for more than 3 months and it is recommended that you consult your doctor if this happens.

Menstruation can also be considered delayed when the girl who has reached the age of 16 has not yet had a menstrual cycle for the first time, in which case it is called primary amenorrhea and should be investigated by the gynecologist. This delay in menstruation may be related to problems such as head trauma, prematurity or defects in the reproductive system, imperforate hymen, vaginal septum, and also absence of uterus, for example.

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What to do in case of delayed menstruation

If you have delayed menstruation for more than 3 months and can not identify the cause, you should go to the gynecologist so that he can identify the cause and treat the problem, and in some cases it may be recommended to take medication to lower menstruation.

The doctor may order tests such as the progestogen test and the prolactin dosage to be able to identify the reason for this delay and indicate the most appropriate treatment.

Also, depending on what is causing the delay in menstruation, reduce the intensity of physical exercise, take it easy, avoid stress and maintain a balanced diet varied and rich in vitamins and minerals are attitudes that help regulate the menstrual cycle.

It is also recommended that you consult your doctor regularly to identify possible health problems or diseases such as polycystic ovaries, endometriosis, anorexia, bulimia, hyperthyroidism or hypothyroidism that can cause changes in the menstrual cycle.

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Dr. Anna Brist M.D.

“Optimal medical care is born out of creating a partnership between me and my patients with open communication and patient education as key components. My patients can expect to receive cutting-edge, evidence-based medicine in a nurturing and supportive environment.”

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