What are the causes of a 15-day delay in menstruation?

Nov 28, 2024 Source: Cainiu Health
Disease description:

My menstrual period has not arrived for some time now. It's been about 15 days late. May I ask, what are the reasons for a 15-day delay in menstruation?

Doctor's answer (1)
Dr. Zhang Lu

Changes in the menstrual cycle can be caused by various factors. If menstruation is delayed by 15 days, common reasons include:

1. Pregnancy: This is one of the most common causes. If you have had sexual intercourse and did not use effective contraception, pregnancy should be considered first.

2. Stress: Prolonged mental tension, anxiety, or excessive stress can affect the function of the hypothalamic-pituitary-ovarian axis, leading to changes in the menstrual cycle.

3. Dietary disturbances: Irregular eating habits, malnutrition, or excessive weight loss may affect hormonal balance and lead to irregular menstruation.

4. Lifestyle factors: Excessive fatigue, lack of sleep, or chronic late-night activities and other unhealthy lifestyle habits may also affect the menstrual cycle.

5. Medication effects: Certain medications, such as antibiotics, antidepressants, and hormonal drugs, may also cause changes in the menstrual cycle.

6. Age: During early puberty and around menopause, due to natural fluctuations in hormone levels, menstrual cycles may become irregular.

7. Medical conditions: Gynecological disorders such as polycystic ovary syndrome (PCOS) and endometriosis can cause menstrual irregularities and delays.