A delayed menstrual cycle is one of the most common problems that cause anxiety and stress for women of all ages, due to its direct connection to various health conditions or pregnancy. While a delayed menstrual cycle may sometimes be normal due to simple factors such as stress or lifestyle changes,
in other cases it may reflect hormonal disorders or illnesses that require evaluation and treatment. In this article, we will explore the most important causes of delayed menstruation and how to deal with them appropriately.
What is a delayed menstrual cycle
It is the absence or delay of menstruation beyond the normal cycle duration for a woman. This means that the menstrual cycle is absent for more than 35 days without menstrual bleeding and without a clear cause.
Causes of a delayed menstrual cycle
A delayed menstrual cycle may have simple, temporary causes, but sometimes it is an indicator of a health problem that requires follow-up. The most important of these causes are:
- Pregnancy and breastfeeding.
- Stress and psychological pressure.
- Strenuous exercise.
- Polycystic ovary syndrome.
- Thyroid disorders.
- Some medications and treatments.
- Hormonal imbalances.
- Imbalanced diet.
- Excessive hair growth in unusual places.
- Approaching menopause.
- Weight changes, whether excessively obese or extremely thin.
Symptoms of a delayed menstrual cycle
Symptoms vary depending on the underlying cause
- Mood swings.
- Acne.
- Breast swelling and pain.
- Abnormal vaginal discharge.
- Crunches and lower abdominal pain.
- A persistent feeling of fatigue and exhaustion.
- Weight changes without a clear cause.
When is a delayed menstrual cycle normal
A delayed menstrual cycle is considered normal during puberty, when the cycle is irregular or delayed due to the immaturity of the reproductive system and hormones. It is also common during pregnancy and breastfeeding, as well as when approaching menopause, which typically begins in the late forties or early fifties, and when stopping birth control pills or certain hormonal medications.
diagnosis of delayed and absent menstruation
When visiting a doctor due to a delayed menstrual cycle, the patient is first asked about the dates of her previous menstrual cycle, the medications she has taken, and any accompanying symptoms, such as weight changes or increased hair growth. A pregnancy test is then performed if the woman is married. A complete blood count and hormone levels are also performed, such as thyroid hormones (TSH), prolactin, and ovarian hormones (estrogen and progesterone). An ultrasound is then performed to detect ovarian cysts, fibroids, or changes in the uterus and ovaries. Finally, additional tests may be performed, such as liver and kidney function tests or a pituitary gland scan.
Medications to Promote Menstruation
In some cases, the doctor may prescribe medications to stimulate menstruation after confirming the cause. These medications must be used under medical supervision.
- Thyroid medications.
- Anti-prolactin medications.
- Combination birth control pills.
- Medications belonging to the progestin class.
Natural Herbs That Help Promote Menstruation
- Cinnamon.
- Turmeric.
- Fenugreek.
- Ginger.
- Anise.
- Boiled parsley.
What to Do When Your Period Is Late
- Take a pregnancy test if you're of childbearing age.
- Eat a healthy diet, try to maintain a healthy weight, and monitor your stress levels, sleep, and psychological pressure.
- Practice simple exercises such as walking and yoga, as they help balance hormones and relieve stress.
- Drink some herbal drinks such as cinnamon, ginger, and fenugreek to help your period come on naturally.
- Monitor accompanying symptoms such as abnormal bleeding, unusual discharge, and severe pain, then consult a doctor if your period is delayed for more than three consecutive months or if it recurs repeatedly without a clear cause.
Tips for Preventing and Regulating Your Menstrual Cycle
- Maintain a healthy weight and engage in regular light exercise.
- Eat a balanced diet, such as foods rich in vitamins, minerals, and proteins, and avoid excessive caffeine and sugar.
- Get good sleep and reduce stress and anxiety.
- Avoid excessive use of over-the-counter hormonal medications, such as birth control pills or steroids.
- Conduct regular checkups to monitor the health of your thyroid and ovaries, especially if you have a history of menstrual irregularities.
Summary of Delayed Menstruation
Delayed menstruation may be normal during certain periods, such as puberty, menopause, or pregnancy. It may also be the result of simple causes such as psychological stress, weight change, or excessive physical exertion. However, it sometimes indicates health problems such as polycystic ovary syndrome (PCOS) and thyroid disorders.
Dealing with a delayed menstrual cycle depends on identifying the cause. If it is temporary, it is usually not a cause for concern. However, if it recurs regularly, it is best to consult a doctor for the necessary tests.