Late period, missed period, irregular period, Oh, Why!? 58

A late period, irregular period, missed period or worse missed periods can all be pretty concerning—with pregnancy being the main concern for most, after all, a baby is a colossal life change. However, many, many things can cause an irregular, late, or missed period, though all of the above menstrual irregularities do have one thing in common. They are all caused by hormonal imbalance or fluctuations. On the downside, this also makes discerning which underlying cause is behind the hormonal changes difficult—if it can be done at all. In any case, a trained medical professional—not Dr. Google—is the best person to ask. Clinics such as Planned Parenthood can be a low-cost option for professional advice. In the meantime below is a general list of common causes behind a late period, irregular period, or missed period.Late period, missed period, irregular period, Oh, Why!?

First, early or late periods can be normal, so what is normal?

Normal hormonal fluctuation: It is perfectly normal for your cycle to fluctuate within a few days over time, in general, 3 to 4 days flux at the start or end of your period is nothing to be concerned by. Your menstrual cycle is controlled by a number of sex hormones: estrogen, progesterone, luteinizing hormone (LH), and follicular stimulating hormone (FSH). Levels for each have a range of normal which can cause a slightly shorter or longer cycle. For most a cycle between 21 and 35 days with bleeding for 2 to 7 days is normal, but to determine what’s normal for you, you would need to chart your cycles for some time. For example, if you had been charting and your average cycle was 21-24 days with active bleeding 1 to 3 days, and you suddenly started having cycles of 35 days with 7 days bleeding, while in “normal range,” this would indicate something in your personal hormone balance shifted outside normal range for you and you may want to explore why. In contrast, if your normal cycle was 30 to 32 days, a shift to 35 days one month is more than likely a normal fluctuation without an underlying concern.

What about Spotting?

Spotting is also considered normal shortly before and after your period. Mid-cycle spotting is questionable. Some women do experience spotting at ovulation, which would be considered normal, but low progesterone levels can also cause spotting as well as the short and frequent variety of an irregular period. Progesterone maintains and thickens the uterine lining for pregnancy. It’s fall and the rise of estrogen is actually what causes your period to begin. This is why low levels can cause abnormal mid-cycle spotting. If you aren’t trying to conceive, birth control is one of the most commonly prescribed methods of balancing sex hormones. If you are, I highly recommend giving the herb Vitex a try. While slow acting, it is often effective.

It should be noted that sometimes other bleeding can be mistaken for spotting. For example, cervical or vaginal wall bleeding can look like spotting. Sex is a common culprit for this type of bleeding. Implantation bleeding can also be mistaken for spotting. This bleeding occurs when a fertilized egg implants (no sooner than 6 days after intercourse). You can read more about implantation bleeding here.

Late period, missed period, irregular period, Oh, Why!?

Late or early ovulation: One of the most common causes of early or late periods is late or early ovulation. During the beginning of your cycle, FSH prompts the development of an egg, once complete this egg triggers the production of estrogen. When estrogen reaches sufficient levels LH is released, which causes ovulation. Ovulation triggers progesterone levels to rise which remain high for 12 to 14 days. If you become pregnant, these levels remain high, if you don’t, they fall as the egg “dies” so to speak, and you get a period. It’s all rather like dominoes. If one domino is spaced too far or gets bumped too soon, you’ll have an irregularly short or long period. For example, low estrogen may cause you to ovulate late in your cycle resulting in a later period (because the progesterone phase will remain the same length), while high estrogen may cause you to ovulate early, creating an early period. High progesterone may cause a long final phase causing a late period, and low progesterone may cause a short final phase/early period.

No ovulation: An absence of ovulation altogether, a missing domino, usually causes more pronounced irregular periods. A lack of ovulation is the sort of thing that causes more than one perceived missed period without pregnancy. The reality is it is one very long cycle. Anovulatory cycles can be cause by the inability to produce a mature egg, either by low FSH or low egg reserve (you are born with a set number of immature eggs) or by luteinizing hormone defects which prevent the egg from releasing or ovarian defects such as cysts (which can also be caused by eggs that fail to release). If you don’t ovulate, nothing triggers progesterone to rise. In this case, estrogen eventually fails to maintain the lining it has been developing or you ovulate very, very late and you have bleeding. This bleeding may occur before your period was due, on time, or far after depending on your own estrogen levels. Consistent lack of ovulation can create prolonged absence of menstruation, frequent periods, or very irregular periods with or without spotting.

Lifestyle changes: OK, that was a lot to take in I know, so if you’re still with me, what can cause all these sex hormone changes? Any lifestyle change can prompt a difference in your hormone balance. Common culprits are weight gain or loss (exercise levels being a big factor), dietary changes, stress, illness, and lack of sleep. In many cases, simply allowing your body time to adjust to these changes is sufficient to regain hormone balance, unless the change is unhealthy and the body is unable to balance. (ex/ exceptionally low body fat content) One of the first steps you should take if you are having an irregular period is to stop and think, has anything changed in my life?

Medications: Second, medications can alter sex-hormone balance. Particularly those containing estrogen or progesterone or that have an effect on these hormones. Again, this would be something that you began taking shortly before the irregular or missed period occurred.

Breastfeeding: An absence of periods while breastfeeding is entirely normal. You may also experience irregularities. As this is an in-depth topic, and this article is already over 1,000 words, you can read more about breastfeeding periods here.

Pregnancy: As most know pregnancy can halt menstruation, but there are also situations where bleeding may continue, but irregularly. You can read more about bleeding like a period while pregnant here.

Menopause: As mentioned earlier you are born with all the eggs you’ll ever have, as you age this reservoir depletes and you will eventually cease menstruation. This is most common after age 40, so if you experience a late, irregular or missed period and are close to this age, it may be a possible cause.

Sickness: Finally, there are medical conditions which can affect your menstrual cycle. Things such as tumors, cysts, and thyroid deficiencies are members of an expansive list. This is why if you experience prolonged cycle irregularities, its best to see a medical professional. You’re looking for a trend of abnormal bleeding (or lack thereof) for you, not just one weird month.

I’ve done my best to cover common causes of late periods, irregular periods, or a missed period here, but if you have additional questions feel free to drop me a comment. I usually respond within 48 hours. Please keep in mind I am not a doctor nor adequate replacement for one.

You may also find relevant:

False Negative Pregnancy Tests: Chances and Causes
Period Blood Colors and Textures Explained
Vaginal Discharge Types

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58 thoughts on “Late period, missed period, irregular period, Oh, Why!?

  • Justin

    I have a question about ovulation and periods. I’m a guy so i have small knowledge about this subject and i barely ask my girlfriend these questions because i’m embarrassed Anyway im curious about a question i have. Me and my girlfriend use a app keep track of her periods and ovulation for months now and we’ve been careful about safe sex(condoms and pullouts) and timing. However for the first time this month she was late on her period. she was due on jan 6 and she got it on the 10th 4 days late … So my question is if her period is late does that mean her ovulation date so also late? like her ovulation was due on 18th but since she got her period on the 10th does that mean her ovulation is on the 22nd? does that also mean her next month period date will change ? Thank you!

    • Life with Gremlins admin

      Chances are, yes, she probably ovulated a bit late. There are two phases to a woman’s cycle, the first, where an egg develops, then ovulation (which marks the switch in phases), and then the second phase where the lining of the uterus is built up and maintained for pregnancy. In most cases there’s vary little shift in the number of days between ovulation and the start of a period (the second phase) unless some sort of hormonal imbalance occurs. It’s during the first phase that many women see a 3-4 day variance. While it’s something she would have to pay attention to, there are ways to predict ovulation based on things like cervical mucus. We have a guide here, if she’s interested. As far as next cycle, because her day 1 shifted by 4 days, her next ovulation and period start date should as well, yes.

  • Anon

    hello, I am extremely paranoid over getting pregnant which is why I do not plan on having sex soon I had protected sex with my boyfriend using a condom on December 25th my boyfriend reassured me by showing me how he put the condom on correctly when he was done I told him to pull out just as a precaution even though he had a condom on. He pulled out and reassured me that there was no holes or anything on the condom by squeezing and pulling the condom and nothing came out. Four days later as I was at my gynecologist I started my period AGAIN I started my period in the begging of December and ended up starting again on December 29th I told my doctor that I had protected sex with my boyfriend and started my period again he told me I will be fine and I also told my doctor I started my period couples days earlier he then said my period started like on 26 days in my cycle which wasn’t to bad or something like that. So my doctor put me on birth control and as I was taking it as the days went by I felt so sick from severe nausea, lack of appetite, headaches, back pain, moody, more depressed than I already am because I suffer from depression.I was freaking out thinking maybe I am pregnant but my boyfriend swears I am not since we used protection and he checked the condom. I stopped the birth control because how sick I was getting I never experienced anything like that on the pill. Anyway moral of this is I am still paranoid on being pregnant even though starting on the pill I noticed I was getting sick. are condoms really good at protecting you from pregnancy if used correctly? and I am unsure if I want to go back on birth control with a different brand since I am afraid of experiencing such horrible side effects.

    • Life with Gremlins admin

      It sounds like you had proper condom use, which places your chances below 3 percent. Some of your timeline is hard to follow here, but if you’re also saying the sex was close to when your period should have started, pregnancy from sex after midcycle is unlikely. The symptoms you experience are common when starting hormonal birth control as it creates a hormone balance your body will need to adjust to. Side effects like those are often short term (resolve in 1-3 months), but you might see a lesser reaction to a lower dose hormone pill. Before starting any pill, a pregnancy test is usually given. If that test was negative, you’re likely not pregnant.

  • Anonymous

    Hello, had sex with my partner& he pulled it out. Then repeated after some time the same evening. That month I got my period early, normal bleeding, but only 2 days. Wierd is that pms symptoms did not end after period and now 3.5 weeks after sex my breasts are continiously bloated since my period and I have pain in my ovary area, similar to ovulation, but lasting for 1,5 weeks on/ off. Could I be pregnant or my hormones are gone mad? Its also stressful time at work. Thanks!

    • Life with Gremlins admin

      Pregnancy is one possibility, but the ongoing pain near your ovary makes me wonder if it’s not actually an ovarian cyst. Sometimes an egg will fail to launch so to speak and the follicle forms a cyst. This can upset your hormones and cause weird symptoms, including some pain in the area. Often ovarian cysts self-resolve over time, but in some become reoccurring (often in relation to PCOS). If the pain continues, you might see your care provider.

  • Melissa

    Hey, I was curious about your opinion with what I’m going through. From your thoughts and such, I would consider myself with low estrogen, but I’m not sure.

    Around sometime in July of 2017 I stopped taking my birth control (it began giving me 2 periods a month) and I haven’t taken it since. In August and September, I had normal 5-6 day span periods with 28 days in between. They would start on a Saturday and finish either Thursday or Friday. What I found weird all of a sudden was that for October, I had it from Monday to Wednesday in the first week (I traveled the next day and my period stopped completely) but it was pretty normal with cramps and such.

    I should have started my period around October 31st(ish) according to my tracker, but so far I’m 4 days late instead. I live with my boyfriend and we do have unprotected sex (he hasn’t ejaculated at all this month, and if so, it would not be anywhere near my vagina). So far, today my vagina feels very dry (and kind of painful) and I’m spotting brown.

    I don’t really pay attention to ovulation, but today I did notice that my discharge (other than being brown, which happened later tonight) was white, creamier, and very acidic. Yes, I will be making an appointment with my doctor, but I’m just hoping he has openings sooner rather than later because he’s very busy.

    Thank you.

    • Life with Gremlins admin

      So your period in early Oct was late or early (starting Monday not Friday) and slightly shorter, and now you’re 4 days late, with some brown spotting. In many cases where there’s brown spotting, a period starts shortly after. If you’re suspecting low estrogen, you’d build a thinner lining, and so have shorter periods. Without vaginal sex, pregnancy is really unlikely and you’re probably on the right track as far as it being hormonal. Sometimes even small lifestyle changes like less sleep or more stress can upset a cycle. As long as there’s no odor or pain, it’s not likely a rush matter, and whenever you can make it into your care provider is fine. They can do a hormone panel, but sometimes it also takes some cycle history to help narrow things down. This is because when you take the test is going to look at a different hormone, for example, for estrogen, you’d want to be at the beginning of your cycle.

  • Life with Gremlins admin

    It takes a minimum of 6 days for implantation and it’s very unlikely (if your cycles are regular) that you were fertile just before your period. Spotting 3 days after intercourse is not pregnancy related. You can test if it would ease your mind (14+ days from the act) but you’re probably in the clear. For future reference though, yes, if he ejaculates and then without washing re-enters you could become pregnant from that if fertile. It’s not a huge chance, but there is a chance.

  • Maegen

    me and my boyfriend had sex Friday and he ejaculated on my back and with his sperm still on him he stuck it back into my vagina area. I was supposed to get my
    Period on Sunday and I did at least I thought I did. I bled for a few hours on Sunday but then stopped and haven’t bled since . Could I be pregnant ? It’s been 3 days

    • Life with Gremlins admin

      It takes a minimum of 6 days for implantation and it’s very unlikely (if your cycles are regular) that you were fertile just before your period. Spotting 3 days after intercourse is not pregnancy related. You can test if it would ease your mind (14+ days from the act) but you’re probably in the clear. For future reference though, yes, if he ejaculates and then without washing re-enters you could become pregnant from that if fertile. It’s not a huge chance, but there is a chance.