Late menstruation is often considered a trivial thing, because this condition is indeed common and can be experienced by all women. However, it is important to know the limits of late menstruation and what needs to be done. In order to prevent serious complications, late menstruation requires immediate medical attention if it is the result of health issues.
Causes of Late Menstruation But Not pregnancy
Late menstruation for more than 1 month can be caused by several things. Well, here is a complete explanation of the various causes of late menstruation that you need to understand.
1. Stress
Did you know that the part of the brain that regulates the menstrual cycle, namely the hypothalamus, will be disrupted when you experience stress? Therefore, physical and mental stress can be the reason why someone is late for their period.
When under stress and fatigue, the production of estrogen, progesterone, and various other hormones in the body goes awry. As a result, the menstrual cycle can be disrupted. In some cases, this can mimic a false pregnancy. For that, immediately overcome your stress by relaxing, changing your lifestyle to be healthier, and exercising regularly.
2. Polycystic Ovary Syndrome/PCOS
Polycystic ovary syndrome or abbreviated PCOS is a hormonal disorder characterized by the presence of a number of cysts on the ovaries. In adolescents with PCOS, the process of releasing an egg cannot occur. This is because the ovaries of women with PCOS are filled with follicles or cell bubbles that prevent the eggs from maturing and being released.
This condition can be the cause of a person's menstruation being late for more than 1 month, as well as having an effect on fertility. Although the cause is not known with certainty, it is suspected that PCOS is related to other conditions, such as insulin resistance and metabolic syndrome.
3. Thyroid Disorders
If you have thyroid disorders, be it hypothyroid or hyperthyroid, this condition can affect your menstrual cycle. Signs and symptoms of thyroid disorders include feeling tired, rapid weight change, hair loss, and sensitivity to hot or cold temperatures.
Thyroid disorders can generally be controlled with drugs so that the menstrual cycle can return smoothly. But, if not handled properly, thyroid disorders can give various complications, one of which is impaired fertility.
4. Perimenopause and Menopause
Late menstruation can be caused by perimenopause or what is known as the menopausal transition. Perimenopause occurs between 2-8 years before menopause.
Perimenopausal conditions are a sign that estrogen hormone levels begin to fluctuate. In this phase, menstruation can become more frequent or less frequent. Other symptoms that can appear are: hot flash, frequent sweating, difficulty sleeping, vaginal dryness, etc. Menopause causes the release of egg cells to stop, resulting in late menstruation or even stopping altogether.
5. Excess Prolactin Hormone
Abnormal production of the hormone prolactin can be a cause of late menstruation. This hormone produced in the pituitary gland will increase during breastfeeding, but it can also increase due to certain medical conditions, such as kidney disease and pituitary gland tumors in the brain. When the production of the hormone prolactin is abnormal, this can have an impact on the function of other hormones that are important in the menstrual process, namely estrogen and progesterone.
6. Use of Hormonal Contraceptives
One of the side effects of using hormonal contraception, such as hormonal birth control, is irregular bleeding. In fact, it was noted that 70 percent of injecting birth control users experience menstrual disorders.
However, each individual has a different response to receiving this hormone. When you stop using contraception, it often takes time for your menstrual cycle to return to normal.
To find out the condition of the body and the possible causes of late menstruation, try to do an examination with a specialist obstetrician or Sp.OG. Later, the doctor will give instructions regarding what needs to be done when experiencing late menstruation.
References:
https://www.halodoc.com/artikel/berapa-lama-batas-telat-haid-yang-perlu-diwaspadai
https://www.klikdokter.com/gaya-hidup/perawatan-wanita/telat-haid-sebulan-pertanda-apa
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