Every healthy woman has a period every 28 days from puberty to menopause. This situation, which can be defined as the female reproductive system preparing itself for possible pregnancy every month, may not occur for many different reasons. To mention a menstrual delay, the onset of menstruation must be delayed for at least 7 days. Except for the pregnancy period, this delay can be experienced 2 or 3 times a year. However, the more frequent menstrual delay can be a harbinger of many different health problems. Also, the menstruation period does not settle immediately after the menarche or, in other words, the first menstruation. A person who has a period for the first time may not experience the second period after 28 days. This situation is caused by the person’s hormonal order not being fully established yet. it can also be seen as the person approaches menopause. During such transition periods, it may take time for the body to adapt to the new hormonal order. Often wondered what causes the menstrual delay? Before answering the question, it is necessary to understand what it is.
What is Menstrual Delay?
The menstrual period or menstrual cycle can be defined as blood coming from the vagina every 21 to 35 days, or in other words, every 28 days on average. Bleeding that lasts between 2 and 7 days is called menstrual bleeding. The delay in menstruation is the delay of menstrual bleeding for at least 7 days. The regularity of the menstruation period depends on the harmonious functioning of many different organs in the body and the hormonal order. The hypothalamus region in the brain primarily stimulates the pituitary gland for menstruation. When stimulated, the pituitary gland, an endocrine organ, secretes the LH and FSH hormones. These hormones spread throughout the body through the bloodstream and when they reach the ovaries, they allow some of the egg follicles in the ovarian reserve to enter the maturation process. The follicle containing the eggs, or in other words, the sac, cracks after maturing sufficiently. While the egg is thrown into the fallopian tubes, which act as a channel between the ovaries and the uterus for possible fertilization, the egg follicle secretes the estrogen hormone. Depending on the increase in the level of estrogen hormone, the uterine wall, or the endometrium in medicine, thickens. This situation ensures that the embryo clings to the uterus in case of possible pregnancy and creates a suitable environment for the healthy development of the baby. However, when the egg is not fertilized, the estrogen hormone in the blood level decreases, and the progesterone hormone increases. The uterine wall, thickened by the effect of progesterone, exfoliates and is discharged out of the body through the vagina with some blood. The first day of menstrual bleeding is considered day 1 and this cycle is repeated once every 28 days on average. For some women, the menstrual cycle can happen every 21 to 35 days. This situation, which is accepted within normal limits, differs from person to person. If the person becomes pregnant, the menstrual bleeding ceases. However, cessation of menstrual bleeding for 7 days or longer except pregnancy is defined as a menstrual delay. In other words, a 5-day delay in menstrual bleeding is considered a normal situation, while a 10-day delay can be a harbinger of a problem. Although it is not important to experience this situation 2 or 3 times a year, which may occur as a symptom of many health problems, the causes of menstrual delay more than 3 times a year should be investigated. Before discussing the causes of menstrual delay, the frequently asked “What are the symptoms of menstrual delay?” Must answer the question.
What are the Symptoms of Menstrual Delay?
Menstrual delay can occur in many different situations. A delay of menstrual bleeding for more than 7 days is not considered normal, except for the periods of puberty and menopause, which is the period when the first menstrual bleeding begins. Menstrual delay is when a person does not have a period of 36 days every 28 days. In other words, the person does not have a different symptom in the presence of a menstrual delay. In healthy individuals, the menstrual cycle should occur regularly in periods other than pregnancy. Another frequently asked question is “What are the causes of menstrual delay?” in the form.
What are the Causes of Menstrual Delay?
Every woman who does not have hormonal balance and physiological problems regularly experience menstrual bleeding between puberty and menopause. Bleeding, which is expected to occur every 28 days on average, between 21 and 35 days is also considered a medically healthy condition. However, a delay of menstrual bleeding for 7 days or more is defined as menstrual bleeding. There are many different reasons for a menstrual delay. Some of the factors that frequently cause menstrual delay can be listed as follows:
- Pregnancy: One of the most common causes of menstrual delay in pregnancy. it due to pregnancy can be seen in women who have an unprotected active sexual life.
- Breastfeeding: The person may not have a period during the breastfeeding period. He may also experience menstrual irregularities. After the breastfeeding period ends, the person’s menstrual cycle returns to its normal order.
- Birth Control Drugs: In addition to implanted birth control methods, birth control drugs that are taken into the body by injection or tablet can cause a person’s menstrual period to be delayed.
- Thyroid Problems: Health problems such as hyperthyroidism or hypothyroidism can cause hormonal changes in the person’s body. This may cause the person’s menstrual bleeding to be delayed.
- Polycystic Ovary Syndrome: The cystic structures formed in the ovaries cause the person’s ovulation physiology to differ. Polycystic ovary syndrome, which causes disruption of the ovulation cycle, can also cause ovulation to stop completely in some cases. Interruption or complete cessation of ovulation can lead to the disruption of the hormonal order and therefore a menstrual delay.
- Chronic Diseases: In addition to health problems such as diabetes or celiac that cause changes in hormonal balance, some disorders that cause weight change can also cause a menstrual delay.
- Menopause: Although menopause, which is a sign of the end of the reproductive age, stops completely during the menopause period, the cycle may become irregular at the beginning of the menopause period and cause a delay in bleeding.
- Low Weight: Losing the weight of the person due to different reasons can cause the hormonal order in the body to change, causing the menstrual period to be delayed.
- Excess Weight: Obesity or being overweight can cause many different health problems, as well as disrupt the hormonal balance of the person and cause a delay in menstruation.
- Stress: Stress itself can affect body physiology. Hormone release may become irregular in people exposed to intense stress. This can cause the person to have a menstrual delay
What are the Diagnosis and Treatment Methods for Menstrual Delay?
The cessation of menstrual bleeding for 7 days or longer is defined as a menstrual delay. Therefore, when a person applies to the physician with this complaint, the physician first takes the patient’s anamnesis. Question the person’s menstrual order. Then, the physician examines the patient to investigate the general health status and hormonal balance and requests additional examinations. In addition to laboratory tests, in some cases, radiological imaging tests may be requested. With the diagnosis of the focal disease that causes menstrual delay, the treatment phase begins. At this point, treatment can be done by many different methods depending on the focal disease.
If you also have a menstrual delay, do not neglect to apply to the nearest health institution to have your health checks. We wish you healthy days.