Menstrual Delay: When To Worry
In the event of a menstrual delay, the first thing we think is that it is a pregnancy. This, however, is not the only possible explanation. In this article we tell you in which cases it is appropriate to consult a doctor or worry if you do not have your period.
A menstrual delay is not always synonymous with pregnancy
The theory indicates that a woman’s menstrual cycle lasts approximately 28 days, the amount of time that should pass between periods. However, the human body does not function like a robot or a clock, so sometimes menstruation is delayed or early.
The functioning of the organism depends on various systems, each of which functions as a cog in a large production chain. For this, the immune, metabolic, circulatory, hormonal and neuroendocrine systems must be in perfect condition for the menstrual cycle to actually last four weeks.
If your period does not arrive on time, worry or happiness about a pregnancy can arise. Of course, this is the most ‘obvious’ cause of a menstrual delay, but it’s not the only one. Other factors can also alter a woman’s cycle.
What are the main causes of menstrual delay?
Let’s start with those factors that trigger a menstrual delay and that, although they are not worrying, it is essential to keep under control so that the situation does not repeat itself in the following months.
1. Stress and anxiety
In recent times, women have been subjected to strong pressure (both at work and social level), which affects their health. Although we can say that it is ‘normal’ for stress to alter the cycle, this situation is not ideal.
Perhaps you are going through a particular problem or situation that has altered your menstrual cycle. Excessive anxiety preceding a wedding, travel, or move, or the stress caused by final exams, commitments, or your financial situation can directly affect hormonal activity.
In these cases, the menstrual delay usually lasts a few days or lasts until the situation normalizes. No other additional problems should occur although, for added safety, you should consult your gynecologist.
2. Changes in body weight
If you have lost or gained weight very quickly, you may notice hormonal changes and delayed menstruation. It is important to know that adipocytes – fat cells – are involved in the production of hormones and that their excess or deficit causes imbalances in the menstrual cycle.
Obese women produce more estrogen than normal and those who are too thin less. To solve this situation, you need to know your ideal weight and do everything possible to achieve it.
3. Breastfeeding
Women who have just given birth do not have periods until several months after giving birth. It is necessary for the body to ‘return to normal’ after a hormonal change as drastic as that of pregnancy and immediately after it.
Some mothers do not have periods even up to a year later. When this happens, it is very important to consult the doctor who followed all the gestation and the period immediately following to determine the causes.
4. Stopping the contraceptive pill
If a woman takes the birth control pill, one of the main ‘consequences’ is irregular menstruation. However, if for some reason the consumption is stopped, the body has to start working naturally again.
This means that the ovaries need to ‘get used to’ the orders given to them by the hormones contained in the pills. This can delay ovulation and obviously your period. It is normal if this happens in the first month, but if the menstrual delay continues to the second month, then it is a good idea to see a doctor.
Causes of menstrual delay that require medical treatment
Well, in some situations , menstrual delay can be linked to more serious health problems that require specific medical attention. This doesn’t mean we need to worry or think about the worst, but we need to seek professional help to treat possible pathologies, such as:
1. Infections and diseases
Some common diseases such as colds, cystitis or tonsillitis can alter your menstrual cycle, especially if you take medications to treat them.
2. Changes in the thyroid gland
Hyperthyroidism or hypothyroidism (increase or decrease in the production of thyroid hormones) can occur, causing significant imbalances in the body, including delayed menstruation.
It is essential to carry out all the necessary medical checks so that a professional indicates the appropriate treatment to follow: drugs, iodine consumption and even removal of the thyroid.
3. Polycystic ovary syndrome
This disease related to the endocrine system is characterized by disturbances in the menstrual cycle and, of course, by the formation of cysts in the ovaries. In severe cases, which are not properly treated, infertility can occur.
To treat this syndrome, it is recommended to lead a healthier life and to lose weight if necessary. It is also possible to prescribe special hormonal preparations, depending on whether the woman wants to get pregnant in the short term or not.
Within five days, the menstrual delay is not of concern, as the human body is not an exact machine. Delays of more than a week could indicate the presence of a disorder. Once you have ruled out the ‘normal’ situations, consult a doctor.
