Reason for delayed period

Reason for delayed period

Dr. Shiva Madani Hosseini
Dr. Shiva Madani Hosseini
تهران
What is the reason for delayed period? In general, the main and common reasons for delayed periods are: - **Stress** - **weight fluctuations** - **Hormonal disorders** - **pregnancy** - **use of drugs** - **Thyroid diseases** - **other diseases** Delayed periods can have several reasons, each of which is related to physical conditions and hormonal changes in the body. One of the main factors is stress; This psychological pressure can disrupt the function of hormones and change the timing of ovulation. If you are looking for an experienced gynecologist in North Tehran to check your menstrual problems or hormonal issues, you can find more information on the Gynecologist in North Tehran page. For advice on menstrual irregularities or hormonal disorders, it is necessary to consult an experienced specialist. Find more details on the women's doctor page in West Tehran. Also, weight fluctuations, whether significant increase or decrease, are among the factors that have a direct effect on hormonal balance. In addition to these cases, hormonal disorders such as polycystic ovary syndrome (PCOS) play a significant role in menstrual irregularities. Pregnancy is one of the most common causes of period delay, and if possible, it is recommended to take a pregnancy test. Another common factor is the use of certain drugs such as hormonal pills or certain therapeutic drugs that can affect the menstrual cycle. Also, diseases such as hypothyroidism or hyperthyroidism, by disrupting the body's hormones, may cause irregularity in the menstrual cycle. If the menstrual delay continues more than usual or if other symptoms accompany it, it is necessary to see a doctor for a more detailed examination. What factors cause delayed periods? ### Stress: Effect on hormonal balance and ovulation ### Weight changes: Sudden weight loss or gain. ### Hormonal disorders and puberty: such as polycystic ovary syndrome (PCOS). ### Thyroid disorders: Hypothyroidism or hyperthyroidism. ### Intense physical activity: Heavy sports or high physical pressure. Improper nutrition: Strict diets or malnutrition. ### Underlying diseases: such as diabetes or adrenal gland problems. ### Pregnancy: The most common reason for delay in married women. ### Medicines: Taking hormonal pills or special treatments. ### Premature menopause: Premature reduction of ovarian function. If this delay continues frequently or for a long time, it is better to see a doctor to identify the exact cause and start treatment. Stress and delayed periods Stress can have a profound effect on the regularity of the menstrual cycle, because the body disrupts the normal functioning of the hormonal system in response to psychological stress. When experiencing stress, the hormone cortisol increases in the body, and this change can affect the hypothalamus-pituitary-ovary axis, which regulates the menstrual cycle. As a result, ovulation is delayed or even stopped, which directly causes the period to be delayed. Problems like urinary incontinence may be related to some hormonal or underlying diseases. If this issue is important to you, refer to the Urinary Incontinence Treatment page and learn the treatment solutions. Delayed period after surgery Postponement of the period after surgery can occur for several reasons, which are mostly related to the physical and psychological changes of the body during this period. Stress caused by surgery, both physical and mental, is one of the most important factors that increases the secretion of cortisol hormone and disrupts the balance of hormones responsible for the menstrual cycle. Also, medications taken during surgery or the recovery period, such as anesthetics, pain relievers, or antibiotics, may affect hormone function. Changes in energy levels, bleeding or reduced blood supply due to surgery, and even weight changes after surgery can disrupt period regularity. This is usually temporary and once the body fully recovers, the menstrual cycle will return to normal. If the menstrual delay is prolonged or accompanied by unusual symptoms, it is better to consult a doctor to make sure there are no more serious problems. Vigorous exercise and delayed period Intense exercise and excessive physical activity can also disrupt the menstrual cycle and cause the period to be delayed. In heavy sports, the body consumes a lot of energy, and in response to physical stress, the amount of ovulation-regulating hormones, especially estrogen, decreases. This hormonal change may lead to cessation or irregularity in the menstrual cycle. The Gardasil vaccine is recommended to prevent HPV-related diseases that can affect hormonal and menstrual health. Read more complete information on the women's Gardasil vaccine page in Tehran. Puberty and delayed menstruation During puberty, delayed periods or irregular cycles usually occur due to natural changes in the body. At this stage, the hypothalamic-pituitary-ovarian axis, which is responsible for regulating the menstrual cycle, is not yet fully established and regular ovulation may not occur. This condition is usually observed in the early years after the first menstruation. Factors such as stress, drastic weight changes, or poor nutrition can exacerbate this delay. In most cases, with the passage of time and the stabilization of hormones, the regularity of the menstrual cycle is established. However, if the delay in menstruation is accompanied by symptoms such as severe pain, abnormal bleeding or prolonged interruption, it is necessary to see a doctor for a more detailed examination. Delayed period due to possible pregnancy One of the most common reasons for postponing periods is pregnancy; Because after conception and the beginning of pregnancy, the body's hormones change and ovulation and the menstrual cycle stop. This delay is usually the first sign of pregnancy and may be accompanied by symptoms such as breast tenderness, nausea, fatigue, or increased urination. If there is a possibility of pregnancy, the best way to check is to take a home pregnancy test or a blood test, which provides the most accurate result. If the test is positive, it is necessary to see a doctor to start pregnancy care. If the test is negative and the delay persists, it is best to investigate other contributing factors, such as hormonal changes or stress. Delayed period with IUD Postponing your period using an IUD may be related to the type of IUD and how it works in the body. If a hormonal IUD is used, due to the release of progesterone, the thickness of the uterine wall decreases, and menstruation may become very rare or even stop. This change in the menstrual cycle is usually normal and is one of the known side effects of hormonal IUD. With a copper IUD, a late period is usually uncommon; But it may be related to other factors such as stress, hormonal changes or even the possibility of pregnancy (although rare). The reason for late periods at the age of forty At the age of forty, period postponement can occur for several reasons related to the body's natural changes during this period. One of the most common causes is entering menopause; At this stage, the level of estrogen and progesterone hormones gradually decreases and ovulation becomes irregular. These hormonal changes can cause irregular or delayed periods. Other factors such as stress, weight changes, or underlying diseases such as thyroid disorders may also cause delays at this age. Also, taking certain drugs or using hormonal prevention methods can disrupt the regularity of the menstrual cycle. If this delay is accompanied by symptoms such as heavy bleeding, unusual pain or prolonged interruption, it is necessary to consult a doctor to determine the exact causes and ensure hormonal and physical health. If you are facing problems such as genital warts, visiting an experienced specialist can help you with quick and effective treatment. See more details on the page of the genital warts doctor in Tehran. The reason for delayed period in unmarried girls Delayed periods in single girls can occur for various reasons, mainly related to hormonal or lifestyle changes. **Stress and anxiety** is one of the most important factors that affects the hypothalamus-pituitary-ovary axis and disrupts the regularity of the menstrual cycle. Changes in weight, such as sudden weight gain or loss, can also disrupt hormonal balance. Improper nutrition or lack of nutrients needed by the body, especially in strict diets, is another effective factor. Also **hormonal disorders** such as polycystic ovary syndrome (PCOS) or thyroid problems may cause a delay in menstruation. In some cases, vigorous exercise or heavy physical activity can also disrupt ovulation. Polycystic ovary syndrome **Polycystic ovary syndrome (PCOS)** is a common hormonal disorder in women that causes irregularity in the menstrual cycle, an increase in male hormones (androgens) and sometimes the creation of small cysts in the ovaries. This syndrome disrupts the normal balance of hormones and makes ovulation irregular or stops, which can lead to delayed or missed periods. Other symptoms include hair growth, weight gain, acne, and fertility problems. To manage this syndrome, lifestyle changes, such as weight loss and exercise, are usually recommended, along with medications to regulate hormones and restore menstrual cycles. The reason for delayed period at the age of 45 At the age of 45, period delay is usually due to entering perimenopause, which is accompanied by a gradual decrease in estrogen and progesterone hormones and irregular ovulation. Other factors such as stress, weight changes, or thyroid problems can also play a role. Which diseases cause delayed periods? Diseases that can cause delayed periods: ### Thyroid disorders: Hypothyroidism or hyperthyroidism that disrupts the body's hormonal balance. Polycystic ovary syndrome: Hormonal imbalance and irregular ovulation. ### Nutritional disorders: Anorexia nervosa or overeating that causes a lack of nutrients in the body. ### Uncontrolled diabetes: Fluctuations in blood sugar that affect the menstrual cycle. ### Adrenal gland disorders: Problems like Cushing's disease that affect the body's hormones. ### Hyperprolactinemia: Increased prolactin levels that can disrupt the menstrual cycle. ### Endometriosis: The growth of uterine tissue outside of it, which may cause menstrual irregularities. ### Chronic diseases: Such as kidney or liver diseases that affect the overall health of the body and hormones. In case of frequent or long delay, it is recommended to see a doctor to check the situation. Pituitary tumor **Pituitary gland tumor**, which is usually benign, can cause irregular or delayed periods by affecting the production of hormones. Located in the brain, this gland plays a key role in regulating the body's hormones, including those related to the menstrual cycle. The tumor may cause an abnormal increase or decrease in hormones such as prolactin; An increase in the level of prolactin (hyperprolactinemia) can disrupt the menstrual cycle and even cause it to stop. Other symptoms may include headaches, vision problems, or changes in the function of other glands. Treatment depends on the type and size of the tumor and may include drugs, surgery, or radiation therapy. Adrenal gland diseases Adrenal gland diseases can disrupt the body's hormonal balance and lead to delayed or irregular menstruation. These glands are responsible for producing hormones such as cortisol, androgens, and aldosterone that play a role in regulating metabolism, stress, and hormonal balance. Diseases such as **Cushing's syndrome**, excess cortisol, **congenital adrenal hyperplasia** (increased production of androgens) or **adrenal insufficiency** (such as Addison's disease) can affect the menstrual cycle. Associated symptoms may include fatigue, weight changes, increased or decreased blood pressure, and skin problems. Treatment of these diseases, depending on the cause, includes hormone-regulating drugs, lifestyle changes, or, in certain cases, surgery. For people who are looking for genital wart treatment in West Tehran, it is necessary to refer to a professional specialist. You can find additional information on the page of Dr. Zaghil Zenjani in West Tehran. Liver dysfunction Liver dysfunction can have a significant effect on the menstrual cycle, because the liver plays an important role in the metabolism and regulation of the body's hormones, especially estrogen. In conditions such as chronic liver disease, hepatitis, or cirrhosis, the liver may lose its ability to metabolize hormones properly, which can cause increased estrogen levels in the body, resulting in irregular or delayed periods. premature menopause **Premature menopause** is a condition in which the ovaries stop their normal activity before the age of 40 and the production of estrogen and progesterone hormones decreases. This condition can delay or stop the period completely. Various factors such as genetics, autoimmune diseases, cancer treatments (such as chemotherapy or radiation therapy), or even certain infections can lead to early menopause. Other symptoms of this condition include hot flashes, night sweats, vaginal dryness, mood changes, and decreased bone density. To manage this condition, hormone replacement therapy (HRT) or other treatments are usually used to reduce symptoms and maintain bone health. The effect of folic acid on menstrual delay Taking **folic acid pills** will not directly delay your period, because this vitamin supplement is more involved in the production of red blood cells and supporting the general health of the body, especially during pregnancy. However, if a missed period occurs at the same time you start taking folic acid, it is usually due to other reasons, such as hormonal changes, stress, or the possibility of pregnancy. Folic acid is sometimes used along with other fertility or ovarian treatments that may indirectly alter the menstrual cycle. If this delay continues or is accompanied by other symptoms, it is better to consult a doctor for more certainty. How long does the emergency pill delay the period? Yes; Taking **emergency pill** can cause a delay or change in period time; Because this pill disrupts the normal order of the menstrual cycle with a high dose of hormones. Usually, the period may be delayed by 3 to 7 days, but in some cases, depending on when the pill is taken in the menstrual cycle, this delay can be longer. In addition to the delay, there may be changes in the amount of bleeding, period duration or even spotting. If the period is delayed for more than a week or symptoms such as severe pain or severe nausea appear, it is better to consult a doctor to make sure there is no pregnancy or side effects. How many days delay in period is normal? In most cases, delay in period up to **7** **days** is considered normal and is usually nothing to worry about. Because many factors can temporarily affect the regularity of the menstrual cycle. The menstrual cycle in women is usually between **21 and 35** days and its duration varies from person to person. Factors such as mental stress, weight changes, unbalanced diet, intense sports, and even travel or environmental changes can cause a delay in menstruation. In such a situation, the body needs a few days to return to its normal state. However, if the delay lasts more than 7 days, there may be other reasons, including hormonal imbalance, thyroid diseases, polycystic ovary syndrome (PCOS), taking certain medications, or even possible pregnancy. In such a situation, it is recommended to take a pregnancy test if possible and consult a doctor for a more detailed examination. Also, if the menstrual delay is accompanied by abnormal symptoms such as severe pain, irregular bleeding, or other unusual symptoms, a doctor should be consulted to determine the root cause and begin appropriate treatment. Chemotherapy drug and its effect on period delay Chemotherapy drugs can have a significant effect on the menstrual cycle and can delay or even stop the period completely. By affecting the ovaries, these drugs reduce the production of estrogen and progesterone hormones and disrupt ovulation. The intensity of the effect of chemotherapy depends on the type of drug, the dosage, and the age of the patient; Younger women may experience a return of menstrual cycles after treatment is completed, but in some cases the effect is permanent and leads to early menopause. Treatment of delayed periods Treatment for delayed periods depends on the underlying cause of the problem, as various factors such as stress, hormonal changes, underlying diseases or lifestyle can affect the menstrual cycle. In the following, treatment methods are explained based on common causes: ### Reducing stress: If stress is the underlying cause, techniques such as meditation, yoga, regular exercise, and improved sleep can help balance hormones and return cycles. ### Weight adjustment: Extreme fluctuations in weight, both loss and gain, can delay periods. A healthy and balanced diet and consultation with a nutritionist can be effective. Treatment of hormonal disorders: For problems like polycystic ovary syndrome (PCOS) or thyroid disorders, your doctor may prescribe medication to regulate hormones. For example, antiandrogen drugs or thyroid drugs. ### Treatment of underlying diseases: Diseases such as diabetes or adrenal gland problems should be treated as they can disrupt the menstrual cycle. ### Consumption of required supplements: If you are deficient in nutrients such as iron or vitamins, using supplements under the supervision of a doctor can help improve your cycle. ### Use of hormonal drugs: In some cases, the doctor may prescribe birth control pills or hormonal drugs to regulate the cycle. This treatment is useful for conditions such as premature menopause or severe irregularities. ### lifestyle modification: Reducing heavy exercise, quitting smoking, and reducing caffeine consumption can have a positive effect on the menstrual cycle. ### Psychological counseling: If there are psychological factors such as anxiety or depression, consulting a psychologist or psychiatrist and using appropriate treatment methods can help. Treatment of delayed periods with ampoules In cases where delayed periods are caused by hormonal imbalance, the doctor may prescribe **hormone pills** to stimulate menstruation. These pills usually contain hormones such as progesterone or a combination of estrogen and progesterone and help regulate the menstrual cycle and stimulate menstrual bleeding. The most common ampoule in this field is **progesterone ampoule**, which is prescribed in case of no ovulation or a decrease in progesterone hormone in the body. **How ​​it works:** Progesterone helps to rebuild the uterine wall and after stopping the use or absorbing the drug, it causes the uterine wall to fall and the period starts. Menstrual bleeding usually starts within 2 to 10 days after the injection. **Usages:** - Irregularity or delay in periods due to hormonal disorders. - Absence of menstruation for a long time (secondary amenorrhea). - Treatment of problems caused by polycystic ovary (PCOS). **Remarks:** The use of hormonal injections should be done only under the supervision of a doctor, because it may cause side effects such as nausea, breast tenderness, headache, or mood changes. Also, before prescribing, the doctor must rule out the possibility of pregnancy or other physical problems. If the period does not return after injecting the ampoule, further investigations such as blood tests or ultrasound are necessary. ### Take period postponement seriously! In general, delayed periods can be caused by various factors such as stress, weight changes, hormonal disorders, or underlying diseases. Each of these causes disrupts the regularity of the menstrual cycle by affecting the hormonal balance of the body. For treatment, the root cause must first be identified. Lifestyle management, such as stress reduction, healthy eating, and weight management, play an important role in returning the cycle to normal. In cases where hormonal problems or underlying diseases such as polycystic ovary syndrome or thyroid disorders are involved, the doctor may prescribe hormonal drugs or special treatments. Sometimes hormonal ampoules such as progesterone are used to stimulate menstruation. If there is a delay of more than 7 days, frequent irregularities, or the presence of symptoms such as heavy bleeding, abnormal pain, or fever, it is necessary to see a doctor. Also, if there is a possibility of pregnancy or if symptoms of hormonal diseases are observed, specialized examinations such as blood tests and ultrasound are performed for accurate diagnosis. In addition to preventing serious complications, timely visit to the doctor and proper treatment helps to return the body to normal order. ### Experience the best obstetrics and gynecology services with Dr. Shiva Madani Hosseini! If you are facing problems such as delayed periods, menstrual irregularities, or the need for specialized women's counseling and treatment, Dr. Shiva Madani Hosseini is ready to provide the best services using modern and specialized methods in Tehran. **Office:** Tehran, Shariati St., above Mirdamad, in front of Shariati Metro Station, Ziba St., No. 54, 4th floor, Unit 11 **📞 Contact phone:** 021-26644659 0912-0651044 For consultation and appointment, call now and take a step towards your health!
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