Causes of Late Periods
There are lots of things that can cause your period to be late. Stress, hormone imbalances, diet changes, medications, and other health conditions can all contribute to a late period. It’s important to be aware of the potential causes of late periods so that you can take the necessary steps to address the issue.
In this article, we will discuss all the possible causes for a late period:
- Stress
- Hormone imbalances
- Diet changes
- Medications
- Other health conditions
Stress
Stress can be a major factor in causing late periods for women of all ages. Hormonal imbalances caused by increased cortisol production due to mental and physical stress are one of the common causes behind a delay in menstruation. A woman’s body may go through weeks of physical, psychological, and emotional turmoil before settling into a natural cycle once again.
Besides the physical symptoms associated with stress, such as headaches, fatigue, and weight gain, they may also experience delayed or absent periods. This can be especially troublesome if it persists over several months or if it becomes a recurring issue.
It is important to look out for signs that might indicate health issues such as polycystic ovarian syndrome (PCOS), endometriosis or an underactive thyroid gland that could be causing a delayed period. Consult your doctor for help understanding and managing your stress levels to ensure you have regular periods.
Hormonal imbalances
Hormonal imbalances can cause your period to become irregular or late. These imbalances occur when the hormones, such as estrogen and progesterone, which regulate the female reproductive cycle are out of balance or there is a problem with hormone production. This can be caused by many underlying conditions such as thyroid problems, polycystic ovarian syndrome (PCOS), anorexia, excessive exercise, stress and even changes in lifestyle or diet.
If you experience a lack of hormones in your body, then it may take some time for your body to catch up and resume its normal menstrual cycle. During this period of hormonal imbalance you may experience heavier than normal bleeding, spotting between several periods and late periods more often than before. Other symptoms may include breast tenderness, fatigue and mood swings.
If you suspect your late period is caused by hormonal imbalances it’s best to visit a gynecologist who will run tests to confirm if this is the case or not. If so then treatment options may include:
- Lifestyle changes
- Medications such as oral contraceptives to help regulate hormone production and restore regular menstrual cycles.
Medication
Medications may contribute to a late period in some cases, as hormonal contraceptives such as birth control pills, shots, patches and implants can cause changes in your menstrual cycle. These medications work by preventing your body from releasing eggs from the ovaries during ovulation. Some types of medication also contain progesterone-like hormones that can interfere with the body’s natural hormones and cause irregular bleeding or late periods.
In addition, certain lifestyle choices – such as over-exercising or having an eating disorder – can affect the levels of hormones in your body and delay the onset of your period. Finally, stress can also have a major impact on your menstrual cycle due to fluctuating hormones. Even activities like travel or changing climates may cause changes to your hormone levels and impact when (or if) you experience a period.
As always be sure to speak with a healthcare provider before making any decisions about medications or lifestyle changes that could affect your health.
Weight Gain or Loss
One of the possible causes of late periods is an abnormal weight gain or loss. Unexplained, extreme weight fluctuations can trigger a period to be delayed or missed altogether. When a woman’s body changes dramatically, such as gaining or losing too much weight at once, it can put a strain on the hormones that signal menstruation. Furthermore, if a woman is already struggling with hormonal issues, sudden and severe weight changes can increase those problems and cause her period to become irregular.
Unintentional weight gains or losses are not the only type that can affect the menstrual cycle; intentional ones should also be monitored carefully. Although gaining muscle from exercise is not all bad for your period cycle, excessive amounts at once result in increased bodily stress—whether you’re wanting to add muscle quickly or lose weight quickly—that leads to hormonal imbalances and irregularity in menstruation. To avoid this issue women should pay close attention to when their bodies are under too much stress due to unregulated heavy workouts that focus on either bulking up or shredding fast.
When to See a Doctor
If your period is late and you don’t understand the reason why, it’s important to see a doctor right away. Most people experience a late period at some time in their life and it can be caused by a variety of factors, including stress, hormonal imbalances, or an underlying medical condition.
Knowing when it’s time to visit your doctor can help ensure that any underlying issues are addressed and you can get the treatment you need.
If you are sexually active
If you are sexually active and your period is late or you’re experiencing other symptoms of pregnancy, you should schedule an appointment with your doctor. They can help you to find out if there is a reason for the delayed period or other menstrual irregularities. Your doctor may also recommend having a pregnancy test done, as well as checking your overall health and well-being.
Your doctor may be able to offer helpful advice on how to regulate your menstrual cycle, including lifestyle adjustments such as:
- Exercising regularly
- Eating healthy
- Avoiding stress
They can also provide guidance on how to track ovulation and use contraception safely and effectively. If necessary, they can prescribe medications designed to help regulate your cycle or rule out any concerning medical conditions.
If you are over 35
If you are over 35 years of age and your period is late, you should make an appointment to see a doctor for a physical evaluation as soon as possible. This applies even if you do not feel any symptoms associated with a pregnancy and there is no reason to believe that you are pregnant.
At this stage in life, it is important to rule out any potential serious medical condition that may be indicated by the late period. Your doctor may decide to conduct additional tests, such as a blood panel or ultrasound, to confirm the reason for the late period or delayed ovulation cycle.
The most common cause of a missed period in women over 35 is perimenopause, which occurs when hormones become imbalanced and fluctuate due to significant changes in your body as it approaches menopause. Perimenopausal symptoms include:
- Irregular periods that may come earlier or later than usual
- Lighter flows than normal
- Unpredictable cycles
- Hot flashes
Other causes for missed periods in this age bracket can include thyroid disorders, extreme stress, drastic dieting or weight changes, excessive exercise or strenuous physical activity.
Seeing your doctor (whether it’s a GP or gynecologist) for an annual checkup is always recommended for women aged 35 and older—especially if your period has recently become irregular. Your doctor will be able to give a proper diagnosis so that you can make informed decisions about managing your reproductive health moving forward.
If you have missed more than one period
If you have consistently had regular cycles and you have now missed more than one period, it’s important to talk to your healthcare provider. Missing your period could be an early sign of pregnancy, but it could also be due to other issues or medical conditions. Certain lifestyle issues can also cause a missed or late period.
Your healthcare provider will review your health history and, depending on the results, may offer various tests to determine the cause of the late or missed period. Some possible tests they may run include a pregnancy test, blood work, and a pelvic exam with Pap smear.
Your healthcare provider will ask questions about any medications you are taking that could affect your cycle, any recent changes in diet or exercise habits that might disturb the normal pattern of hormones responsible for ovulation and menstruation, as well as any symptoms such as bloating, headaches and exhaustion that are associated with menstrual irregularities. This information helps your healthcare provider accurately diagnose any underlying problems related to amenorrhea (absence of periods).
Once potential causes for your missed periods have been identified, treatment will depend on the underlying medical condition being treated. Common treatments for irregular periods include oral contraceptive pills (birth control pills) or progesterone supplements taken daily from Day 15 – 25 of each cycle over a 3 month period in order to stimulate ovulation. Other therapies such as anti-inflammatory drugs and lifestyle modifications (such as lose weight if overweight) may also be recommended if there is no underlying condition accompanied by menstrual irregularities. If further evaluation finds there is an underlying medical condition causing the symptoms you may need additional medication(s) specific to treating that condition. In these cases it is important to follow up closely with your healthcare provider until regular menstrual cycles resume again.
Treatment Options
If your period is late or you miss a period altogether, it may be time to seek medical advice from a doctor. There are a few different treatment options available for women who are experiencing menstrual irregularities. This article will discuss the different treatment options available and provide guidance on how to choose the best one for you:
Birth control pills
Birth control pills are a common form of contraception that works to prevent pregnancy by supplying the body with hormones to keep eggs from being released from the ovaries. If taken regularly and as prescribed, birth control pills are one of the most effective methods of contraception available. However, missing more than two pills in a single cycle can reduce the efficacy of these contraceptives.
Birth control pills come in monophasic, biphasic and triphasic dose forms; these forms each contain varied dosages of estrogen and progestin hormones.
- Monophasic doses consist of 21 one-week packs that contain full hormone doses throughout all seven days or 28-day packs in which three weeks of hormone doses followed by one week with no dose.
- Biphasic dose pack contains two different dosage strengths.
- Triphasic doses usually contain two doses released at once followed by two different strength daily dosage levels during five-day intervals.
Although most birth control pills prevent pregnancy mainly by preventing ovulation, they may also hinder fertilization or implantation depending on when they are taken within your menstrual cycle. It is important to note that if you miss or forget to take your pill at any point during your cycle then its effectiveness is diminished significantly and you may be at risk for becoming pregnant; it is advisable to use a backup method such as condoms until you have taken seven consecutive days’ worth of active tablets. Additionally, triple tests can be used to verify hormone levels in order to make sure the pill is working correctly for you before relying solely on it for contraception.
Hormone therapy
Hormone therapy, also known as hormone replacement therapy (HRT) or menopausal hormone therapy (MHT), are treatments designed to help alleviate the symptoms of menopause. These treatments are typically offered to women who have gone through menopause, as well as those experiencing early onset menopause due to chemotherapy or pelvic radiation and in some cases certain medical conditions.
Hormone treatments are tailored for each individual based on that person’s specific needs. Common treatment forms include systemic hormone therapies (taken orally or by injection), low-dose vaginal formulations, skin patches, and lozenges. Systemic estrogen is used most often for the treatment of hot flashes and associated symptoms of perimenopause and menopause, such as night sweats and vaginal dryness. Women may also be used progestin when estrogen therapy is prescribed in order to reduce the risk of endometrial cancer associated with use of unopposed estrogen therapy.
For those women who cannot take systemic hormone therapies because they have had a prior history of breast cancer or are at risk for developing other forms of cancer, there are still other options available; this includes low-dose vaginal formulations which can provide beneficial vasomotor symptom relief with fewer systemic effects than oral forms may cause. Options like compounded bioidentical hormones may also be available through one’s healthcare provider if the desired results cannot be obtained using other available products.
Health care providers should evaluate any woman considering hormone therapy for her medical history, health status, and her desired outcome prior to initiating any type of hormone replacement regimen.
Surgery
Surgery can be an option for some women whose menstrual cycle has become significantly irregular and who have been unable to regulate it with other treatments. Depending on the type of surgery, it can be done with a laparoscope or through open surgery. In each of these cases, the goal of the surgery is to remove a portion, or all, of the endometrium (uterine lining) from the uterus in order to minimize or even stop excessive bleeding during each period cycle.
Laparoscopic surgery is a minimally invasive procedure in which surgeons will use laser and electricity to destroy part of inner walls that produce uterine lining. This type of approach generally requires several outpatient visits for follow up care and recovery time may range anywhere from two days up to two weeks.
Patients who require more extensive treatment may have severe adhesions that must be removed through open abdominal surgery (laparotomy). Any areas found with scar tissue will also be carefully dealt with during this type of procedure and during recovery patients may need hospitalization as well as follow-up physical therapy visits. Obviously the risks associated with this type of procedure is much higher than that associated with laparoscopic surgery but if extensive issues are present it should not be overlooked as an option.
Self-care Tips
If your period is late, it can be stressful and confusing. It is important to take some time to take care of yourself. Stress can make a late period worse, so it is important to take some time to relax and practice self-care.
Here are a few tips to help you take care of yourself if your period is late:
- Take a warm bath.
- Go for a walk or do some light exercise.
- Eat healthy, nutritious meals.
- Get plenty of rest.
- Take time to relax and do something you enjoy.
- Talk to someone you trust.
Get enough rest
Getting enough rest is an essential part of staying healthy. When your body is not rested adequately, it affects hormone regulation, and this can cause abnormal menstrual cycle changes such as late periods or missed cycles. This advice may sound obvious but it’s so important. Make sure you’re getting 7–9 hours of sleep per night to ensure your body has enough time to rest and recover during the night.
In addition to seven to nine hours of sleep, you should make a point of:
- Avoiding the use of electronics before bed.
- Dimming the lights in your bedroom to create a more relaxed atmosphere.
- Ensuring that you have a comfortable mattress that supports your body while sleeping.
Lastly, limit caffeine intake in the afternoon and evening in order to help maintain consistent sleeping patterns and promote normal hormonal balance. Practicing these self-care tips can help keep your menstrual cycles on track if your period is ever late due to stress or other factors.
Eat a healthy diet
When it comes to self-care during your menstrual cycle, eating a healthy diet is incredibly important. Foods rich in calcium, protein and antioxidants – like the ones found in nuts, seeds, fruits and vegetables – can help reduce inflammation and build up muscle and bone strength.
Foods high in sugar can deplete the body’s natural energy reserves, so try to avoid foods that are heavy in processed sugar (like candy or soda) if you are prone to exhaustion during your menstrual cycle. Eating enough complex carbohydrates is also essential for hormone balance; these include whole grains like brown rice or quinoa as well as legumes like lentils and beans.
Eating enough fiber will help keep you regular and lessen bloating, so reach for lots of fresh vegetables for this one! Lastly, focus on hydrating throughout your cycle – especially on days when you may feel more fatigued. Proper hydration will ensure everything remains flushing through your body properly!
Exercise regularly
Exercising regularly is an important part of maintaining overall health and well-being, but for women, it can be particularly beneficial for managing hormone levels associated with the menstrual cycle. Aim to exercise for at least 30 minutes at a time or spread out over several sessions throughout the day. This can help to release endorphins, reduce stress levels, and stimulate the body’s natural energy rhythms.
Exercise also helps to build strong bones and muscles which can ultimately improve overall health as well as your chances of conceiving in the future. So even if your period is late, make sure to get moving!
Avoid stress
It’s important to recognize signs of stress and make an effort to reduce it. When you feel stress, your body’s hormonal balance is thrown off, which can delay or prevent ovulation. This can make a period late. So, how do you avoid stress? Here are some ideas:
- Practice deep breathing or other relaxation methods for a few minutes each day.
- Take a break from life’s stresses and indulge in your favorite hobbies or activities.
- Get plenty of rest so your body can recharge and function optimally.
- Make time for social support from friends and family members that can provide positive energy and solutions to problems.
- Try to stick to regular mealtimes so that your body has the fuel it needs to stay in balance.
- Avoid unhealthy habits such as smoking, drinking alcohol, taking drugs, etc., as these will increase anxiety levels and disrupt hormonal balance even further.
- Set realistic goals that are achievable within a certain time frame so that you don’t get overwhelmed by the pressure of too much at once.