My Period is Late- Should I Freak Out?

Well I certainly am.

I have talked on this blog before about how I regularly track my period and it has helped me to really greatly understand what is and is not normal for my cycle. This is definitely a practice I think everyone should be in as it can really help to manage one’s health and wellbeing. For me, my cycle is relatively normal. About 31 days in length and 3 to 5 days of bleeding. Except this time. As I am sitting and writing this blog post by period is going on day 4 of being late (if we are counting the 31 day average length) and I won’t lie, it’s beginning to freak me out. Is this normal? Should I worry? When should I call my doctor? (And there is a 0% my asexual little booty is pregnant, so don’t even suggest such a thing).

So today, I want to talk about some of these things. Why are periods late? What should we do about it? When is it a late period and when is it a missed period? When should you call the doctor? Let’s really get into the nitty gritty stuff today, guys.


What is the length of a typical menstrual cycle?

The average menstrual cycle is 28 days, but this can vary greatly woman to woman. Typically, a cycle that lasts between 21 and 40 days is considered to be normal. Tracking the period month to month can be extremely helpful for women trying to learn more about their cycle including, length, flow, and symptoms such as cramps and irritability.


When is it a late period and when is it a missed period?

A late period is defined as a period that hasn’t started 5 or more days after you expect it to start, or your usual start for the cycle. So for me, technically my period won’t be late until day 36, so if it starts tomorrow it technically isn’t considered late. A missed period, on the other hand, is a lack of bleeding for 6 or more weeks after the last bleeding cycle.

I’ve read (not that I claim to be ANY kind of expert on the topic), when a period is seven days late, there is a chance that the individual is pregnant. If you have any doubt that you might be pregnant and your period is abnormally late, it might not be a bad idea to tack a pregnancy test to be sure.


Sans pregnancy, what else can cause a late or missed period

Even the most typical cycle can have variations, even unexpected ones, and they don’t always mean pregnancy. Since menstrual cycles are controlled by hormones, fluctuations in hormones can really change the way our body responds.

Things like stress, grief, weight fluctuations (especially rapid), low caloric intake, and intense exercise may be major culprits for changes in menstrual cycles. Some of these are things that we may not even consider, especially if we don’t think we are under more stress than usual or even if we think we are eating enough food.

For me, I think because I have been running every day for 40+ days, my change to the mileage or running I am doing along with a ton of stress from work has really played into my change. I did jump on the scale the other day just to make sure I am maintaining weight, which I am (I’m even up my usual amount surrounding the start of my period).


When should I be concerned?

One or two late period, or even one missed period may not be concerning, especially if things start up again and you begin back on a regular cycle. This might just be worth noting in your app, especially if you can guess what may be causing the change. However, if you cannot pinpoint the cause of your irregular cycle and it is eating away at you, a call to the doctor to have things checked up isn’t a bad idea.

Remember to keep up with your yearly PAP smears too and maybe at your next gyno visit you can mention that your period changed a little.

If things become sporatic, unpredictable, or if you period disappears for several months, it’s definitely time to see a professional. If your irregular periods become normal, it is definitely a time to go see the doctor, and if you don’t have a Gynocologist, it’s time to get recommended to one. Irregular cycles lasting more than six months can be a sign of underlying medical conditions such as endometriosis, polycystic ovarian syndrome (PCOS),


So am I probably freaking out over nothing? Definitely. Is this something I am going to be keeping note of? You bet.

Our menstrual cycle tells us a lot about our health and wellbeing and it is important to pay attention to the signs and symptoms of it just like we would our breathing and our heartbeats.

For me, I’m trying to eat a little bit more and slide back on the intensity of my workouts for a little bit to hope that things begin to calm down and regulate again. In the meantime, I’m also scheduling my gyno appointment because sometimes I don’t practice what I preach and it’s about time I bit the bullet on that one.

Anyway, it you are every concerned about your period, it’s not bad to reach out to your doctor and ask questions! They might take a day or two to get back to you, but having that peace of mind is always good!

Should I go into more details on athletes and the lack of periods in a future post? Let me know if this is something that would interest you in the comments below!

Until next time,

Kat

For Women Only: Why is my Period Late?

late peroidWe’ve all had it happen at one point or another.  We expect our period to come at the same time every month, but then it just doesn’t.  Then the waiting game comes.  You wait and wait for it to start and maybe sometimes it does one or two weeks later, or sometimes it just doesn’t happen.  First thing you do if you’re sexually active of course is to take a pregnancy test.  But what if you’re not currently sexually active or the test comes back negative?  What does that mean?  Why was your period late or skipped?  Is something wrong? Should you see a doctor?

Rest knowing that this happens to almost every woman at some point in her life and it may occur for multiple reasons.  Some of these causes are minor and don’t involve any need to see a doctor while others are more serious and you should seek medical help if you think it is correlated to a more serious issue.

So today, I want to discuss with you some of the reasons that your period may be late.


Remember what your period is

Your menstrual cycle is regulated by your endocrine system.  This system is in charge of releasing hormones like estrogen and progesterone.  These are the key hormones in all stages of menstruation and allow the eggs to mature and be released.   Different factors can cause imbalances in hormones and can cause delays in menstruation (Palermo, 2013).


If you are experiencing extreme stress

Highly stressful situations, such as moving, large life decisions, or heavier workloads can put a lot of stress on your body.  This stress can majorly throw off your hormones and even affect your hypothalamus, which is the part of the brain that controls and regulates your period.

This is thankfully a pretty simple fix.  Try to locate what may be causing you stress and attempt to eliminate it or lessen it.  Although it might be hard to completely get rid of what stresses us out, knowing what it is and taking actions to limit it can help keep our bodies and brains in balance.


Extreme weight loss

As much as we would love to see twenty pounds melt off our bodies in a week, not only is not realistic, but it’s not at all healthy.  That being said, excessive weight loss happens to women all over the world.  Most of the times this is related to eating disorders such as bulimia or anorexia, but sometimes it could just be caused by women who don’t understand what healthy weight loss is.  Extreme loss of BMI can cause periods to be late or skipped.   If you are afraid you are losing weight too quickly and you are missing your period, do some research on how much weight you should be losing a week or what your ideal BMI should be.  You might be surprised what you find out.  If you are dealing with an eating disorder, I urge you to seek medical attention.


Excess Exercise

Sometimes things like a new workout routine, especially if you didn’t have a workout routine before, or intense training can cause your period to be late or to be skipped.  When we exercise a new routine or an intense routine, our body experiences stress since we are pushing it beyond its normal limits.  Our bodies are pretty funny in certain ways, and when its under stress it actually tries to protect us from getting pregnant.  That means that our body prevents ovulation, reduces estrogen, and fails to build a big uterine lining.  Those ingredients are the recipe for not having a period (Barnes, 2014). This is why a lot of athletes, especially gymnasts, are known for not having periods for most of their lives.


Polycystic Ovary Symptom (PCOS)

womeninbalance

Normal level of hormones during a menstrual cycle photo from: womeninbalance.org

This condition causes the body to produce more of the male hormone, androgen, and can result to cysts forming on the ovaries.  This can make ovulation irregular or even stop all together. This condition can also affect the balance of estrogen, progesterone, and testosterone in your body causing a huge hormone shift.  This condition can be diagnosed by your doctor and a treatment plan to alleviate symptoms can be set up (Barnes 2014, Healthline, 2015).


Chronic Conditions

Chronic conditions such as celiac disease, diabetes, or thyroid conditions can cause alterations in your menstrual cycle.  Changes in blood sugar are linked to hormone changes and inflammation that is caused by celiac disease can damage the small intestine and prevent the body from absorbing nutrients needed for healthy and normal menstruation (Healthline, 2015).


Premature Menopause

When women under the age of 40 have hormones “misfiring” significantly, they are said to be experience premature menopause and this can cause serious irregular and missed periods.  This condition has every symptom of normal menopause including hot flashes.  However, rest knowing that this is a rare condition and it should be the last thing you worry about when you are noticing that your period is late or missing.  However, if you are extremely worried, a trip to the doctor will help put your mind at ease (Barnes, 2014).


There are a lot of potential reasons for periods to be missed or altered.  Sometimes they aren’t even serious conditions and may not even be worth a bat of the eyes, next month you’ll probably go back to normal.  But again, if your condition seems chronic, you should seek medical attention to determine if you are in need of a treatment plan to get your hormones back on balance.

Let me know in the comments below if you know any reasons for irregular periods that I missed, there are tons out there!

Until next time,

Kat

Sources and further reading:

Healthline. (2015).  Healthline. Why is My Period Late? http://www.healthline.com/health/womens-health/why-is-my-period-late#4

Barnes, Z. (2014). Women’s Health.  7 Reasons Your Period May be Late Other Than Pregnancy.  http://www.womenshealthmag.com/health/late-period

Palermo, E. (2013). Livescience.  Why is My Period Late? http://www.livescience.com/41329-why-is-my-period-late.html