I've noticed my period is 15 days late, and my cycle is typically 28 days like clockwork. This is the first time I've experienced this delay, and I'm a bit worried. Could you help me understand what might be causing this?
Causes_
1. *Hormonal Imbalance*: Changes in estrogen and progesterone levels can disrupt your menstrual cycle.
2. *Stress*: Physical or emotional stress can affect hormone production, leading to late periods.
3. *Weight Changes*: Significant weight gain or loss can impact hormone production and menstrual cycles.
4. *Polycystic Ovary Syndrome (PCOS)*: A hormonal disorder that can cause irregular periods.
5. *Thyroid Issues*: An underactive or overactive thyroid gland (hypothyroidism or hyperthyroidism) can affect menstrual cycles.
6. *Other Medical Conditions*: Certain conditions, such as diabetes, pituitary tumors, or premature ovarian failure, can also cause late periods.
_Diagnostic Tests_
1. *Pregnancy Test*: To rule out pregnancy as a cause for late periods.
2. *Thyroid Function Tests*: To check for thyroid hormone imbalances.
3. *Hormone Level Tests*: To assess estrogen and progesterone levels.
4. *Pelvic Examination*: To check for any abnormalities in the reproductive organs.
5. *Ultrasound*: To evaluate the ovaries and uterus.
_Treatment Options_
1. *Hormonal Medications*: To regulate hormone levels and induce menstruation.
2. *Birth Control Pills*: To regulate menstrual cycles and reduce androgen levels.
3. *Fertility Medications*: To stimulate ovulation and menstruation.
4. *Lifestyle Changes*: Maintaining a healthy weight, reducing stress, and exercising regularly.
_Advice_
1. *Consult a Gynecologist*: To determine the underlying cause of your late period and receive personalized guidance.
2. *Keep a Menstrual Diary*: To track your periods, symptoms, and any changes.
3. *Maintain a Healthy Lifestyle*: Focus on a balanced diet, regular exercise, and stress management techniques.
