Delayed Periods: Causes, Symptoms & Diagnosis

A delayed period can be a source of stress for many women, especially if their menstrual cycle is usually regular. While a late period isn’t always a sign of something serious, it can sometimes point to underlying health issues that need attention. Understanding the causes of delayed periods, associated symptoms, and when to seek help can make a big difference in managing your reproductive health.

What Is a Delayed Period?

A delayed period refers to a menstrual cycle that is longer than the typical 28 to 35-day range. For many women, cycles can vary slightly month to month, but if your period is late by more than a week or two, it could signal a condition like amenorrhoea, which is the absence of menstruation for extended periods.

Common Causes of Delayed Periods

Several factors can lead to a delayed menstrual cycle. The most common reasons for delayed menstruation include:

• Stress: High cortisol levels can interfere with the hormones that regulate ovulation.
• Polycystic Ovary Syndrome (PCOS): A hormonal disorder that commonly causes irregular or missed periods.
• Thyroid Disorders: Both hypothyroidism and hyperthyroidism can disrupt your cycle.
• Weight Fluctuations: Sudden weight gain or loss can affect hormone levels.
• Excessive Exercise: Overtraining can suppress reproductive hormones.
• Pregnancy: A missed or late period is one of the earliest signs of pregnancy.
• Contraceptives: Some birth control methods may cause delays or irregular bleeding.
• Perimenopause: As women approach menopause, cycles can become longer or skipped.

Symptoms of Delayed Periods

The symptoms of delayed periods can vary depending on the underlying cause. Common signs to watch for include:

• Abdominal bloating or cramping
• Breast tenderness
• Mood swings or irritability
• Fatigue
• Acne flare-ups
• Changes in vaginal discharge
• Signs of period coming late, like spotting or premenstrual symptoms, without actual bleeding

If your late period is accompanied by unusual pain, sudden weight changes, or signs of a hormonal imbalance, it’s best to consult a gynaecologist.

What to Do If Period Is Late

Wondering what to do if the period is late? Here’s what you should consider:

• Take a Pregnancy Test: Especially if you’re sexually active and your period is over a week late.
• Track Your Symptoms: Note any physical or emotional changes.
• Evaluate Lifestyle Factors: Stress, travel, or diet may be responsible.
• Consult a Specialist: If you miss more than two cycles, or experience repeated delays, a medical evaluation is necessary.

At SPARSH Hospital, we use advanced diagnostics to determine the exact causes of delayed periods and recommend appropriate treatment, whether it’s hormone therapy, lifestyle changes, or addressing underlying conditions like PCOS or amenorrhoea.

How Is Delayed Menstruation Diagnosed?

Your gynaecologist will begin by reviewing your medical history and cycle patterns. Diagnosis may include:

• Pelvic exam
• Blood tests to check hormone levels
• Ultrasound to look for ovarian cysts or uterine abnormalities
• Thyroid function tests

If a condition like amenorrhoea is diagnosed, your doctor will work to treat the root cause rather than just the symptom of missed periods.

Expert Gynaecological Care at SPARSH Hospital for Women and Children

SPARSH is widely recognised as one of the best gynaecology hospitals in Bangalore, offering advanced care for women’s health issues in a warm and supportive environment.

Dr Prathima Reddy, one of the best gynaecologists in Bangalore, brings decades of expertise in managing menstrual cycle disorders, fertility concerns, and hormonal imbalances. With her compassionate and patient-centric approach, you’ll receive guidance every step of the way—from diagnosis to treatment.

Conclusion

Frequently Asked Questions

1. What are the early signs of period coming late?

Bloating, mood swings, light spotting, and cramps without bleeding can be signs of period coming late.

2. How late can a period be before worrying?

A delay of up to 7 days is usually not a cause for concern, but persistent delays or skipped cycles may require medical attention.

3. Can stress really delay your period?

Yes, chronic stress is one of the most common reasons for delayed menstruation, as it impacts hormone production.

4. Should I be concerned if I have a delayed menstrual cycle regularly?

Yes, recurring delays may indicate an underlying issue like PCOS or thyroid dysfunction and should be evaluated by a gynaecologist.