Delayed menstruation


Causes of delayed menstruation

Nothing hits a woman more than delayed menstruation, except when she is trying to get pregnant. “Am I pregnant?”
Pregnancy is the first thought when menstruation is delayed.
But is pregnancy the only reason for a delay? The 10 most common reasons for a delay:

1. Stress Stress
can affect a woman’s body and, as a result, the menstrual cycle. Sometimes you feel so stressed that the body lowers the amount of hormone used to release gonadotropins (GnRH), which leads to blocking ovulation or menstruation. A conversation with the doctor or midwife can help to understand what is useful for relaxation and achieving the normal cycle. Getting back to normal can sometimes take a few months or more.
Sometimes worries can trigger a delay, including the thought that you might be pregnant. Then it is advisable to take a pregnancy test to be sure.

2. Illness
A sudden and short illness or even a long-lasting illness can cause a delay in menstruation. This is usually only temporary. If you believe that this could be the reason for a delay, you should ask the doctor how long you have to wait before the normal cycle returns.

3. Change of working hours A change of working hours
can actually overturn the biological schedule. This is especially true if you switch from a day shift to a night shift or vice versa. If you change the cycle frequently and observe changes in your cycle, you can ask to organize shift work in such a way that the change always takes place after a longer period of time.

4. Change of medication

If you change a medication and the cycle arrives late or does not occur, this may be the cause. You should talk about this side effect with your doctor or midwife.
This often occurs with some types of birth control pills.

5. Overweight Overweight
or excessive obesity can shift and also block hormone cycles. For most women, normal cycles and fertility resume when they lose some weight, even if they are still overweight.

6. Too lean
If you don’t have enough body fat, you may have irregular cycles. Sometimes menstruation can be absent altogether. This phenomenon is called amenorrhea. In general, the increase in body weight helps the return of menstruation. This is a common cause of the absence of the cycle in women who work very hard or play competitive sports.

7. Calculation error
The menstrual cycle varies from woman to woman. It is said that the average menstrual cycle lasts 28 days, but this is not true for every woman. Sometimes you think that menstruation is late, but in fact you just made a calculation error.
If you have irregular menstrual phases but know when ovulation should occur, you should expect menstruation about two weeks after ovulation. This can help to get an overview of the cycle.

8. Premenopause Premenopause
is the period of transition from reproductive to non-reproductive age. Menstruation may be lighter, heavier, more frequent, or less frequent. If there is no desire to get pregnant, you should continue taking the pill, because you can still be fertile for a while.

9. Menopause
Menopause is the stage of life when ovulations and menstruation no longer occur. Menopause can be a natural occurrence in life or it can occur surgically through a hysterectomy or chemotherapy.

10. Hypothyroidism Hypothyroidism
can cause delays and other irregularities in menstruation. The disorders of the thyroid gland can change the amount of the hormone prolactin, which affects the hypothalamus and can interrupt the normal menstrual cycle.

11. Climate
The change of seasons and especially heat can cause a few days of delay. It is therefore advisable to wait calmly until the period occurs.

12. Pregnancy
Finally! Yes, menstruation could be delayed because you got pregnant!
Usually, a simple pregnancy test helps to determine whether the delay was caused by fertilization that occurred. The urine pregnancy test and blood test look for the human chorionic gonadotropin (HCG) hormone produced by the embryo.
If the pregnancy test is negative, you should wait for a week and then repeat the test again. If the second test is also negative or there is a good reason for the delay, you should ask the attending physician or gynecologist for an examination.

What should you do if the cycle is irregular?

If a woman or a young girl has irregular cycles, it means that there may be differences in cycle length.
The amount of blood lost, as well as the duration of the bleeding, may vary. Irregular menstruation can have various causes and treatment depends on the cause. Some doctors organize relaxation classes or recommend changing the contraceptive pill. Most doctors confirm that taking oral contraceptives for a long time is a safe way to suppress menstruation, as some scientific studies show, but many women do not know this.

In most cases, irregular periods are benign (normal).
In many cases, the cause of the absence or too frequent occurrence of menstruation, spotting (light bloody discharge staining the underwear or pad) or heavy bleeding is a hormonal imbalance.
This can easily be treated by a doctor.

Skipping a cycle is more common during perimenopause (the interval at which a woman’s body begins to enter menopause).

For most women, there is no cycle at certain moments.
This can happen for no apparent reason, in anticipation of pregnancy or because of anxiety and tension.

Most doctors don’t worry about it if a woman skipped a cycle (once or twice a year). Depending on the age of the woman, menstrual periods that are more frequent, absent or last longer may be a sign of premenopause or indicate altered hormones that control the menstrual cycle.

Irregular periods and delays in menstruation can be caused by the following factors:

  • Breastfeeding
  • Caffeine consumption
  • Chemotherapy
  • Birth
  • Significant change in body weight – such as weight gain or loss
  • Taking some medications
  • Eating disorders
  • Excessive exercise
  • Hormonal imbalance
  • Drug abuse
  • Miscarriage
  • Polycystic ovary syndrome (PCOS)
  • Smoke
  • Too much stress
  • Endometriosis, cysts, polyps and uterine fibromas
  • Nutritional factors – a diet that is too high in carbohydrates

A change in hormone levels can affect the cycle and fertility. For example, adolescents tend to have low or variable progesterone levels. This also applies to women who are approaching menopause. For this reason, adolescents and women over the age of 40 may have heavy menstrual periods and cycles of varying lengths.

Other things can change the cycle. These include birth control pills, anorexia, severe weight loss or overweight. Stress, worry or too much exercise can change the cycle. Pregnancy is the most common cause of absence of menstruation.

Sometimes the typical symptoms of each menstrual phase can help to understand which of the phases you are in:

  • Increased mucus production and an increase in basal body temperature are typical of ovulation.
  • Abdominal cramps, bloating and soreness of the chest and glutes are typical of the premenstrual period, especially in the 3 days before.

There is no maximum delay, in some cases there is no cycle, and menstruation does not recur for 2-3 months.

No menstruation when taking the pill

For someone who takes the pill regularly and has no menstruation, but otherwise shows no other signs of pregnancy, pregnancy is rather unlikely.
Signs of pregnancy include exhaustion, sore breasts, nausea and vomiting, and frequent urination.
Start with the next pack of pills as planned.

If there are no two consecutive menstruations without forgetting the pill, it is better to take a pregnancy test. If you haven’t forgotten the pill, it’s unlikely that you’ll get pregnant. Therefore, do not stop taking the pill and thus risk pregnancy without consulting the doctor.

Causes of the absence of the cycle when taking the pill
There are many reasons why women do not menstruate while taking the pill. Although the pill is taken to regulate the monthly cycle, sometimes it is not very efficient.
Some reasons for the absence of menstruation are:

  • interruption of taking the pill,
  • change in the type of pill,
  • increased physical training,
  • excessive use of the pill,
  • menopause or premenopause,
  • some medicines,
  • Stress.

Is it normal not to menstruate while taking the pill?
The truth is that many women and many doctors deliberately influence the cycle in women for decades. Some women think that without menstruation toxins accumulate monthly, but this is wrong.
It is not dangerous to have a delayed menstrual period, especially shortly after you start taking the pill, because it manipulates the monthly cycle.
A sharp decrease in the amount of menstruation in the first month of taking the pill is also normal.

Studies have shown that 91% of women taking oral contraceptives wanted a longer menstrual cycle to reduce premenstrual syndrome, headaches, fatigue, cramps, swelling, and other symptoms of menstruation. Doctors are able to help a woman overcome the cycles and alleviate the menstrual irregularities or severe menstrual symptoms associated with them.

Other reasons why women want to manipulate their menstruation by taking the pill include:

  • Wedding date or honeymoon,
  • Vacation
  • demanding activities,
  • other related health problems.

Women who want to skip a menstrual period simply do so by starting a new pack of oral contraceptives during the fourth week instead of taking the inactive pills.
Before doing this, you should talk to your doctor and explain your personal reasons to him or her. The doctor may have another solution, for example, an injection with “Depo-Clinovir”.
This injection prevents menstruation for up to 14 weeks and is given at least once every 12 weeks.
There are several ways for a woman to avoid the pill and have monthly menstrual periods.

The woman should also know that the pill does not have one hundred percent effect and that in the absence of monthly menstruation, even with regular use of the pill, a normal pregnancy can exist.
After stopping the pill, three to six months may pass before ovulation and the regular cycle resume.

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