Period delay: What could be the cause?;

Καθυστέρηση περιόδου – πιθανές αιτίες

Period delay is one of the most common issues that women face especially in the summer. Although it is an obvious symptom of pregnancy, it can also be combined with other slightly more complex conditions.

The first and most likely scenario we always consider is the possibility of pregnancy.

Period delay: What are the causes?;

Let's take a closer look at them:

Pregnancy

It is the most common cause of delay in young and older women who have an active sexual life and activity. As long as there has been sexual intercourse during the fertile days of the cycle, then a possible delay of more than three to five days probably indicates that you are pregnant. In case you suspect pregnancy, then ideally you can have a pregnancy test, either from the pharmacy or with a B-chromosome microbiological test.

Polycystic ovary syndrome

It is a fairly common gynaecological syndrome, characterized by hormonal imbalances, which cause frequent changes in the regularity and rhythm of menstruation. In addition to the very frequent delayed periods, additional symptoms include increased hair growth on the face and body due to increased androgen levels in the blood, skin problems (oiliness, acne), increased body weight and difficulty in conceiving. If the cause of the delay is polycystic ovary syndrome then your gynaecologist may recommend taking contraceptives according to your age to regulate your cycle.

Sudden Increase or Major Weight Loss

It has been observed very often that due to the intense change and fluctuations in body weight there is a direct variation in the hormonal profile of women and a strong disturbance of the period. Restoring and maintaining body weight to normal levels can directly restore and maintain the regularity of the cycle.

Inflammatory Diseases

Any gynaecological or non-gynaecological condition can work negatively and cause a delay in menstruation. If you have noticed a cold, a virus, an outbreak of a chronic autoimmune disease, then this is probably the cause of the delay and the cycle will soon return.

Stress and anxiety

Stressful events and situations in our lives can directly disrupt the hormonal balance of the body. This can often lead to delayed periods, irregular cycles or heavy periods with increased flow and intense pain. The main reason is the production of the hormone (GnRH) that is activated by stress and inhibits ovulation.

Adolescence

Delayed menstruation in teenage girls is an absolutely common phenomenon. The menstrual cycle can be unstable for up to a few years after the first period. This is perfectly normal until it stabilises and usually does not need special treatment.

Medication protocol

Many drugs and medications such as antidepressants, non-steroidal anti-inflammatory drugs and corticosteroids can directly cause delayed or disturbed periods. Also, antibiotics can cause delay although this disorder is usually due to the condition for which you needed to take antibiotics rather than the antibiotic.

Thyroid gland dysfunction

Thyroid gland hormones directly regulate metabolism. A sudden increase in thyroid hormones or a sudden decrease or lack thereof can affect the functioning of the cycle and be the ultimate cause of the delay. When thyroid hormone levels vary, symptoms such as weight loss or weight gain, swelling, hair loss, drowsiness, drowsiness, tachycardia, insomnia, hyperhidrosis, emotional instability, etc. may be observed. If you suspect that you have a problem with the thyroid gland, you should consult an endocrinologist immediately.

Breastfeeding

During the period of breastfeeding, the prolactin produced by the woman's body can suppress the ovulation process and thus prevent the onset of the period. This is why most women do not have periods for months during breastfeeding.

Menopause and menopause and menopause

Most women enter menopause at the age of 46-55 years. It is established that we can talk about menopause when a woman's period is confirmed to have been absent for at least 1 full year. The menopause is the period of time that can last up to 3 years until the period finally stops and during which there can be very severe disturbances in the menstrual cycle. The most common symptoms of the menstrual period are hot flashes, night sweats, mood swings, insomnia, dryness in the vagina, etc.

Dr. Panagiotis Polyzos MD PhD MSc

Obstetrician Gynaecologist
Doctor of Medicine, University of Athens Medical School

Panagiotis Polyzos, Gynaecologist Obstetrician, is active at the Institute of Life - IVF Unit of Iaso Maternity Hospital.