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Most women have between 11 and 13 menstrual periods each year. You may be different: You may have more or fewer. Missed or irregular periods must be looked at in terms of what is normal for you.
Menstrual periods are often irregular during the first few years after menstruation starts. It may take several years for the hormones that control menstruation to reach a balance.
Menstrual periods also may be very irregular at the other end of the menstrual years. Many women realize that they are approaching perimenopause and menopause when their otherwise regular periods become irregular. Menopause occurs when it has been 12 months since you had a menstrual period.
Pregnancy is the most common cause of a missed period. If you might be pregnant, treat yourself as if you are pregnant until you know for sure. Use a home pregnancy test as the first step to finding out whether you are pregnant.
If you are not pregnant, other causes of missed or irregular periods include:
Remember, you can still become pregnant even though you are not menstruating. Practice birth control if you do not wish to become pregnant.
Premature ovarian failure is when you stop menstruating before age 40. Surgery, chemotherapy, and radiation therapy to the abdomen or pelvis may cause premature ovarian failure.
Other diseases such as irritable bowel syndrome, tuberculosis, liver disease, and diabetes can cause missed or irregular periods, although this is rare. But if any of these diseases are present, you will usually have other symptoms besides menstrual irregularities.
If you've skipped a period, try to relax. Restoring your life to emotional and physical balance can help. Many women miss periods now and then. Unless you are pregnant, chances are your cycle will return to normal next month.
Check your symptoms to decide if and when you should see a doctor.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
Pain in adults and older children
Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Adults and older children often have several symptoms of shock. These include:
Many prescription and nonprescription medicines can affect the menstrual cycle. A few examples are:
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
Based on your answers, the problem may not improve without medical care.
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
There is no home treatment for missed or irregular periods. But the following information may help you find the cause of your missed or irregular periods:
Do a home pregnancy test if you have had sex since your last period. If the result is positive, practice the following good health habits until you see your doctor:
If the home pregnancy test is negative but you continue to have pregnancy symptoms, it is a good idea to see your doctor to confirm the results. Practice good health habits until you see your doctor.
Call your doctor if any of the following occur during home treatment:
Here are some steps you can take to help prevent missed or irregular periods.
If you participate in endurance sports, you may miss periods or stop menstruating. Eat a healthy, balanced diet, and keep track of your periods. Tell your doctor about any changes in your menstrual periods.
To prepare for your appointment, see the topic
Making the Most of Your Appointment.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
Current as of: July 1, 2021
Author: Healthwise StaffMedical Review: William H. Blahd Jr. MD, FACEP - Emergency MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family Medicine
Current as of: July 1, 2021
William H. Blahd Jr. MD, FACEP - Emergency Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine
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