Period FAQs

what are reasons for missed periods

by Prof. Maximillian Cremin Published 1 year ago Updated 1 year ago
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The most common reasons are:
  • pregnancy.
  • stress.
  • sudden weight loss.
  • being overweight.
  • doing too much exercise.
  • taking the contraceptive pill.
  • the menopause.
  • polycystic ovary syndrome (PCOS)

Common Causes

There are several possible causes of delayed or missing periods:

  • stress
  • low or high body weight
  • polycystic ovary syndrome (PCOS)
  • hormonal contraceptives
  • chronic conditions such as diabetes or celiac disease
  • thyroid issues
  • menopause
  • pregnancy

Related Conditions

Why Is My Period Late: 8 Possible Reasons

  1. Stress. Stress can throw off your hormones, change your daily routine, and even affect the part of your brain responsible for regulating your period — your hypothalamus.
  2. Low body weight. Women with eating disorders, such as anorexia nervosa or bulimia, may experience missed periods. ...
  3. Obesity. ...

More items...

What could cause a missed period?

10 Reasons for a Missed Period

  • Stress. Profound stress alters the production of a gonadotrophin -releasing hormone (GnRH), interfering with ovulation and regular menstruation. ...
  • Extreme Exercise. ...
  • Illness. ...
  • A Change in Your Schedule. ...
  • Medications. ...
  • Weight Changes. ...
  • Recently Started Periods. ...
  • Perimenopause and Menopause. ...
  • Breastfeeding. ...
  • Ectopic Pregnancy. ...

More items...

What are the reasons to miss a period?

Missed or late menstrual period, Pain with sexual intercourse (female), Vaginal discharge. ...

What are the reasons why your period is late?

What are the symptoms of a missed period?

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How much delay in periods is normal?

If you don't have any known condition affecting your menstrual cycle, your period should start within 21 to 35 days of your last period, depending on your normal cycle. Regular periods can vary. If your regular cycle is 28 days and you still have not had your period on day 29, your period is officially considered late.

Is it normal to miss a period for no reason?

It's normal miss a period once in a while. It could just be your body's response to stress or changes in your eating or exercise habits. But sometimes, it can also be a sign of a larger issue.

What to do if period is not coming?

There are a few measures you can take at home to help regulate your periods:Establish a regular routine.Eat a balanced diet.Get regular exercise to maintain a healthy weight.Manage and reduce your stress.Take birth control as prescribed.

Is it normal to miss a period for a month?

It is not uncommon to occasionally miss a period, or for periods to become irregular from time to time. Under some circumstances, periods can even stop altogether. Sometimes these irregularities are due to normal changes, and are not cause for concern.

Can I miss a period but not be pregnant?

Menstrual irregularities, such as missed or late periods, occur in 14–25% of women of childbearing age. They can result from a range of conditions besides pregnancy, including hormonal imbalances, hormonal birth control, stress, weight loss, trauma, and certain health conditions.

Can I miss my period and not be pregnant?

You might miss a period every so often if you're taking the contraceptive pill. This is not usually a cause for concern. Some types of contraception, such as the progestogen-only pill (POP), contraceptive injection and intrauterine system (IUS), particularly Mirena, can cause periods to stop altogether.

How long can stress delay a period?

Stress can delay your period, but the good news is that stress shouldn't completely stop your period (like, forever). If you've gone more than six weeks (the amount of time it takes to classify a period as fully “missed”) since your last period, it may be time to see a doctor and make sure everything is okay.

Can stress delay your period?

Yep! Stress can affect your hormones in a way that changes your menstrual cycle. Other things can delay your period, too, like being sick, exercising a lot, having a low body weight, using a hormonal birth control method, or taking certain other medications.

How can I make my period start?

Can I Make My Period Come? 6 Ways To Jumpstart Your Menstrual CycleTake Your Birth Control. If you're on the pill, you can manipulate when you'll get your period and when you won't. ... Try Parsley Tea. ... Have Sex. ... Reduce Your Stress. ... Exercise. ... Drink Tropical Juices.

What is the period of transition between reproductive age and non-reproductive age?

Perimenopause is the period of transition between reproductive age to non-reproductive age. Your periods may be lighter, heavier, more frequent, or less frequent during this time. 10 In most cases, they'll just be different than what you're used to.

How long can you miss your period?

You may miss a period for one or two months, or you may experience complete amenorrhea —that is, no period for three or more months in a row. This article explores 10 common reasons your period may be delayed. Verywell / Cindy Chung.

How long does a period last?

Recently Started Periods. A normal menstrual cycle lasts from 21 to 35 days in healthy women, but it can vary. This is especially true for young women who are just starting to get their periods, or for women who have not had periods for several years and are starting again.

What hormones are involved in ovulation?

Stress. Intense stress interrupts the production of gonadotrophin-releasing hormone ( GnRH)—a hormone that regulates ovulation and the menstrual cycle. 1. Both physical and psychological stress can cause a delayed period.

What medications cause a period to be delayed?

Some medications, such as antidepressants, antipsychotics, thyroid medications, anticonvulsants, and some chemotherapy medications, may cause your period to be absent or delayed. 4. Hormonal contraceptives like Depo-Provera, progesterone-only MiniPill, Mirena IUD, and Nexplanon can also influence your cycle.

Why is my period unpredictable?

Changing schedules can throw off your body clock. If you frequently change work shifts from days to nights, or if your schedule is generally all over the place, your period can be fairly unpredictable. 6.

Why is my period delayed?

Both physical and psychological stress can cause a delayed period. But the level of stress capable of causing this effect is usually more severe than having a bad hair day.

Why does amenorrhea occur when taking birth control?

A study on the effect of antipsychotics on menstruation found that amenorrhea occurred because prolactin levels were imbalanced. Additionally, some birth control medications, such as an IUD, implant or shot, may cease your periods while on them.

What happens if you are stressed?

A little stress in your life is fine, but chronic stress can throw your body out of balance. Stress activates the hormone cortisol and pushes your body into survival mode. If you are experiencing prolonged stress, your body can induce amenorrhea and will prevent menstruation.

How many women have PCOs?

Little is known about what causes this disease, but about five million women in the United States may be affected by PCOS. Like thyroid dysfunction, PCOS can cause a hormonal imbalance in your body, causing missed periods.

How to lower estrogen levels in women?

Increased exercise. Working exercise into your schedule on a daily basis is great, but excessive exercising could lead to lower levels of estrogen, which is the hormone that regulates the female reproductive process.

What are the health problems associated with irregular menstruation?

Common health problems linked to weight and irregular menstruation include eating disorders, such as anorexia and bulimia, and uncontrolled diabetes.

Is it normal to not have periods after a baby is born?

Your period may not make an appearance after your baby is born, but don’t be alarmed! If you are breastfeeding your little one, a lack of periods is completely normal. Referred to as lactational amenorrhea, this is a phase that disrupts the rhythm of your menstrual cycle.

Is it normal to go without a period?

With the exception of missing your period while on some contraceptives, it is not normal to go without a period for several months and can be harmful to your health.

When is it time to see a health care provider?

A pregnancy test can confirm pregnancy starting from the first day of a missed period. If any of the following symptoms are present, it’s important to see a health care provider:

Why does my thyroid cause my period to be irregular?

The thyroid helps control the menstrual cycle, and a thyroid hormone imbalance may result in a disrupted menstrual cycle. When thyroid hormone levels are too low or too high , it can cause prolonged menstrual bleeding, anovulatory cycles (cycles without ovulation), and irregular periods.

What are the structures that regulate the menstrual cycle?

The menstrual cycle is regulated by a complex system that includes brain structures (the hypothalamus and pituitary glands), the thyroid gland, the ovaries, and the uterus. Stress can interfere with the body’s cycle regulation by affecting the hypothalamus.

What is the best treatment for thyroid disease?

To treat thyroid disease, health care providers may prescribe thyroid hormone replacement for hypothyroidism and thyroid suppression for hyperthyroidism.

How long does it take for a woman to get her period back after stopping birth control?

These hormones prevent the ovaries from releasing eggs and significantly reduce the odds of becoming pregnant. They can also reduce the frequency of periods. For some people, it may take up to three months before their cycle goes back to normal after they stop using hormonal birth control.

How long is a menstrual cycle?

Find out what you can do with our Health Assistant. Each menstrual cycle begins on the first day of your period and continues until the next period begins. The average menstrual cycle is about 28 days long, but a healthy cycle can be anywhere from 21 to 35 days long.

What causes irregular periods?

PCOS is a fairly common condition that causes irregular periods. This condition causes the body to produce a higher amount of androgen. It also causes small cysts to form on the ovaries when follicles don’t rupture to release eggs. In addition to irregular periods, common symptoms of polycystic ovary syndrome include:

What should I do if I have missed my period?

Don't panic! In most cases there is nothing serious going on. The most important thing to do is to do a pregnancy test if there is any chance at all you could be pregnant. If you otherwise feel well in yourself, and you are not pregnant, then the chances are your periods will start up again in due course.

Will I need any tests for a missed period?

If you go to see a doctor about your periods stopping, first of all the doctor will ask you some questions. For example, the doctor will want to know:

How are absent periods treated?

This depends on the cause. In many cases no treatment is needed. See the specific leaflets about the various causes for information on how each is treated.

How long does it take for a period to restart after stopping contraception?

When you have been on the combined oral contraceptive (COC) pill or an injection form of contraception, it can take a while for your periods to restart once you stop the contraception. It can take a few months for your body's own cycle to restart and it can take several months before you have a period.

Why do women's bones weaken after menopause?

When the absent periods are combined with low levels of the female hormone oestrogen, there may be a risk of bones weakening. Oestrogen helps keep bones strong, and they start to weaken after menopause. If they become excessively weak and break (fracture) easily, this is called osteoporosis. This only applies to women who have not had a period for a long time (a year or more). It is particularly a risk for women whose periods have stopped due to early menopause, weight loss, anorexia nervosa or excessive exercise.

How long after stopping contraceptive pill do you have periods?

You feel unwell in yourself (for example, headaches, changes in your vision, have lost or gained weight). You have not had a period for six months after stopping the contraceptive pill. (Or 12 months after the last contraceptive injection.) You are worried about your lack of periods.

What is it called when you have a high prolactin level?

A condition where a hormone called prolactin is too high. This is called hyperprolactinaemia. The most common cause of this is a non-cancerous (benign) growth in the brain, called a prolactinoma. Conditions affecting a gland in your neck, called the thyroid gland.

Why is diabetes a problem?

Diabetes occurs when your body fails to produce or respond to the hormone insulin. This is a major problem as insulin is essential for the necessary transport of glucose to your body cells, which they use for energy. Excess glucose can damage your blood, increasing your risk for serious complications.

How to stop stress during menstrual cycle?

Stress reduction techniques, lifestyle changes, and exercise can help reduce stress and the effects it has on your menstrual cycle. When the stress is decreased, your regular cycle resumes. If you are having difficulty managing stress and feel overwhelmed, it’s best to consult your doctor.

How does stress affect your period?

Stress can have a number of impacts on your health. Enough stress can temporarily change how the part of your brain (hypothalamus) that controls the hormones regulating your menstrual cycle works. You can miss one period, then another, and another. Stress reduction techniques, lifestyle changes, and exercise can help reduce stress and the effects it has on your menstrual cycle. When the stress is decreased, your regular cycle resumes. If you are having difficulty managing stress and feel overwhelmed, it’s best to consult your doctor.

What are the causes of missed periods?

Medications. A few types of medications can affect the menstrual cycle and cause missed periods. These include antidepressants, antipsychotics and some allergy, chemotherapy, or anti-hypertension drugs. It’s a good idea to alert your doctor if you’re on a new medication and experience a missed period.

What causes a malabsorption of essential nutrients?

Celiac disease. If you have celiac disease, consuming gluten, a protein found in wheat, barley and rye, triggers an immune response in your small intestine. This causes a malabsorption of essential nutrients.

What is the term for a woman who has an excess of androgen?

Polycystic ovary syndrome is a hormonal condition common in women of reproductive age, resulting in menstrual abnormalities and an excess of androgen testosterone. Period. Premenstrual Syndrome. Premenstrual syndrome (PMS) has many different symptoms, like bloating, cramping, and mood/behavioral changes.

How long does a woman's period last?

Initial years of menstruation. Menstrual cycles vary from woman to woman. Flow may occur every 21 to 35 days and last for 2 to 7 days. During the first few years of menstruation, cycles tend to be irregular and long cycles are common. However, within a few years, menstrual cycles tend to even out and become more regular.

Why does my period feel irregular?

Chronic diseases such as diabetes and celiac disease also can affect your menstrual cycle. Changes in blood sugar are linked to hormonal changes, so even though it’s rare, poorly controlled diabetes could cause your period to be irregular.

What causes a male to produce more androgen?

Polycystic ovary syndrome (PCOS) is a condition that causes your body to produce more of the male hormone androgen. Cysts form on the ovaries as a result of this hormone imbalance. This can make ovulation irregular or stop it altogether.

How to know if you have a symtom?

If you have the following symptoms, contact a doctor right away: 1 unusually heavy bleeding 2 fever 3 severe pain 4 nausea and vomiting 5 bleeding that lasts longer than seven days 6 bleeding after you’ve already entered menopause and had not periods for a year

Why is my period not every 28 days?

If your period doesn’t fall within these ranges, it could be because of one of the following reasons. 1. Stress.

How long does it take for a period to change after taking birth control?

Birth control pills contain the hormones estrogen and progestin, which prevent your ovaries from releasing eggs. It can take up to six months for your cycle to become consistent again after stopping the pill. Other types of contraceptives that are implanted or injected can cause missed periods as well.

What are the causes of a period?

1. Stress . Stress can throw off your hormones, change your daily routine, and even affect the part of your brain responsible for regulating your period — your hypothalamus. Over time, stress can lead to illness or sudden weight gain or loss, all of which can impact your cycle.

When is it normal for a woman's period to be irregular?

There are also two times in a woman’s life when it’s totally normal for her period to be irregular: when it first begins, and when menopause starts. As your body goes through the transition , your normal cycle can become irregular.

What is the butterfly shaped gland in your neck?

8. You have a thyroid condition. Your thyroid is a butterfly-shaped gland in your neck that produces hormones that help regulate many activities in your body, including your menstrual cycle. There are several common thyroid conditions, including hypothyroidism and hyperthyroidism.

What happens when stress levels peak?

When your stress level peaks, your brain tells your endocrine system to flood your body with hormones that switch on your fight-or-flight mode. These hormones suppress functions that aren’t essential to escaping an imminent threat, including those of your reproductive system.

What happens when your body is stressed?

1. You’re stressed out. Your body’s stress-response system is rooted in a part of your brain called the hypothalamus. While you may no longer be running from predators, your body is still hard-wired to react as if you were. When your stress level peaks, your brain tells your endocrine system to flood your body with hormones ...

Why does my period come late?

Extreme increases or decreases in body fat can lead to a chaotic hormonal imbalance that causes your period to come late or stop entirely. In addition, severe calorie restriction affects the part of your brain that “talks” to your endocrine system, giving instructions for the production of reproductive hormones.

How long does it take to get your period back after you missed it?

Missing a period can be alarming, but there’s usually a simple explanation. Still, if your period hasn’t arrived for more than 40 days , it’s best to make an appointment with your healthcare provider to see what’s going on. Last medically reviewed on July 29, 2019.

How soon after your period should you take a pregnancy test?

You’re pregnant. If there’s a chance you may be pregnant and your cycles are typically regular, it may be time to take a pregnancy test. Try to do this about one week after your period was supposed to start. Taking a test too early can result in a false negative.

What happens if you miss your period?

Late or missed periods may be an early sign. You may also experience hot flashes, night sweats, and trouble sleeping.

What percentage of menstrual irregularities have thyroid problems?

A 2015 study found that 44 percent of participants with menstrual irregularities also had thyroid disorders.

How long does it take for perimenopause to start?

It usually begins in your 40s, but can occur earlier. You may experience signs and symptoms lasting from 4 to 8 years, beginning with changes to your menstrual cycle. Fluctuating estrogen levels during this time can cause your menstrual cycles to get longer or shorter. Other signs and symptoms of perimenopause include:

How many women have endometriosis?

Endometriosis affects 1 in 10 women of reproductive age. This is a condition in which the tissue that normally lines your uterus grows outside the uterus. Endometriosis causes very painful, even debilitating menstrual cramps. Endometriosis also causes heavy bleeding, prolonged periods, and bleeding between periods.

What hormones are involved in breast milk production?

Prolactin is a hormone that’s responsible for breast milk production. Prolactin suppresses your reproductive hormones resulting in very light periods or no period at all while you’re breastfeeding.

How do you know if you're pregnant?

Other symptoms of early pregnancy may include: morning sickness. nausea. sensitivity to smells. breast tingling or tenderness. fatigue. If you miss a period or notice changes in your period and you’ve had sex, you can take a pregnancy test at home or see your doctor to find out if you’re pregnant.

What does it mean when your neck is swollen?

Swelling at the base of your neck is another common sign of a thyroid disorder.

Why does my period stop?

Extreme weight loss and eating disorders. Excessive or rapid weight loss can cause your period to stop. Not consuming enough calories can interfere with the production of the hormones needed for ovulation. You’re considered underweight if you have a body mass index lower than 18.5.

Why does my period not come on time?

You need the estrogen and progesterone to prepare the uterus to receive a fertilized egg, but if those hormones aren't in balance and you don't end up actually ovulating, the whole system is off. Because of that lapse in timing, your period might not come on time either.

What is the medical term for a woman's ovary that is affected by an imbalance of reproductive hormones?

4. Polycystic ovary syndrome (PCOS) PCOS is a medical condition caused by an imbalance of reproductive hormones, according to the Office on Women's Health.

What can disrupt your period?

Significant stress—such as a divorce, death of a loved one, or, I don't know, the effects of a global pandemic —can definitely disrupt your hormonal balance, creating delayed, irregular, and even heavy periods.

Why is my period so heavy?

The flow may be extra heavy because when you skip the ovulation stage, your body isn't making the proper amount of progesterone, which regulates the thinning of the uterine lining, she says. If that doesn't happen, your period is likely to shed more of the lining of the uterus, and therefore be heavier than normal. 2.

What hormones are produced when stress hits the hypothalamus?

When all of that stress reaches the hypothalamus in the brain, which is supposed to be stimulating a series of hormone production, such as luteinizing hormone (which triggers ovulation), estrogen, and progesterone, that's when things can go off the rails.

How long does it take for a period to come back after stopping birth control?

But if you’ve just stopped taking the pill, then take note: Dr. Ross says it might take one to three months to return to your normal cycle. Still, pay attention to what your period looks like when it finally comes back. “It may be once you are off the pill you may find you have an underlying hormonal problem that was masked by taking the birth control pill,” says Dr. Ross.

What glands regulate metabolism?

If that’s the case for you, then it’s time to get in touch with your ob-gyn. 6. Thyroid dysfunction. The thyroid gland, located in your neck, regulates your metabolism, but it also interacts with many other systems in your body to keep things running smoothly.

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Causes

Absence of or missed menstruation after normal menstrual cycle.

Common Causes

Amenorrhea is not always related to an underlying condition. It may be caused by:

  • Low body weight
  • Excessive exercises
  • Mental stress
  • Eating problems such as anorexia
  • Taking certain drugs such as birth control injections
  • Pregnancy
  • Hormonal imbalance
Related Conditions
Sometimes amenorrhea may signify an underlying health condition. These conditions include:

Treatment

Risks

Results

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Besides pregnancy, there are a number of possible reasons for a missed period. Pregnancy is by far the most common cause of a missed period, but there are some other medical reasons and lifestyle factors that impact your menstrual cycle. Extreme weight loss, hormonal irregularities, and menopause are among the mo…
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Prevention

  • If you're coping with an overwhelming situation or experiencing prolonged anxiety, with more than one missed period, talk to your doctor and get a referral for counseling to help you decide what to do about the issues that are causing you stress. Once your stress is back to a manageable level, it can sometimes take a few months or more for your cycles to become regular again. How your m…
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Effects

  • Extreme exercise can cause alterations in pituitary hormones and thyroid hormones, resulting in changes in ovulation and menstruation. Don't worry about exercise causing you to miss your cycle if you work out for one or two hours per day. It takes strenuous exercise for hours and hours every day to produces these hormonal changes. If you are planning on exercising for hours every day, …
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Prognosis

  • Changing schedules can throw off your body clock. If you frequently change work shifts, going from days to nights, and particularly if your schedule is erratic, your period can be fairly unpredictable. Generally, changes in schedule shouldn't cause you to completely miss your period but can cause it to start earlier or later than expected. Your cycle can also change by a few days …
See more on verywellhealth.com

Overview

  • Hormonal contraceptives like Depo-Provera, progesterone-only MiniPill, Mirena IUD, and Nexplanon can also influence your cycle.
See more on verywellhealth.com

Diagnosis

  • Being severely underweight interferes with regular menstrual cycles as well. When the body lacks fat and other nutrients, it cannot produce hormones the way it should. Women with anorexia (very low food intake) or who burn far more calories with exercise than what they consume by eating may experience amenorrhea. Typically, weight gain will help your periods to return.
See more on verywellhealth.com

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