Why I haven’t got my periods for a whole month even when the pregnancy test was negative? - #9797

Patient Name: Kajal Age: 22 years Date: 12-April-2025 Chief Concern: Delayed menstruation – Last period in mid-February; no period in March or April (until 12th); pregnancy test on 8th April was negative. No current stress. Clinical Impression: A missed or delayed period in an otherwise healthy young woman can occur for several reasons other than pregnancy—especially if your pregnancy test was negative after a reasonable window. Since you're not under stress, some possible explanations include: Anovulation (absence of ovulation during a cycle): This can occur occasionally even in women with regular cycles. Hormonal fluctuations: Thyroid dysfunction, elevated prolactin levels, or mild PCOS can cause delayed ovulation or skipped periods. Weight changes: Even without noticeable gain/loss, small shifts in diet, physical activity, or body fat percentage can affect menstrual hormones. Post-viral or immune response: Sometimes, a recent viral illness or minor systemic imbalance can disrupt the cycle temporarily. Medication or supplement use (if any): Certain drugs or supplements can interfere with hormonal balance. Advice & Recommendations: Repeat pregnancy test around 14th April to rule out late implantation. If still negative and no periods by 20th April, consider consulting a gynecologist. They may advise: Hormonal blood tests: TSH, Prolactin, LH, FSH Pelvic ultrasound: To check ovarian function and uterine lining Lifestyle check: Ensure consistent sleep patterns and regular meals Avoid over-exercising or undereating If periods still don’t resume, a short course of hormonal medication may be prescribed to induce withdrawal bleeding — but only after evaluation. Conclusion: One skipped period without other symptoms is usually not a serious issue. However, if your cycle becomes consistently irregular, it’s advisable to look deeper into hormonal health. For now, monitor your symptoms, stay hydrated, maintain a balanced routine, and recheck your pregnancy test if needed. Do let me know if you need paid consultation. Dr Shayeque Reza MD 9800280276