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neither withdrawal bleeding nor my periods started

Sir my periods didn't happen in month of November, I thought that it happened because I was traveling to different places entire month so it must have affected it.I had sex with my bf in first week of December. Though we have protected sex but I was in doubt so I took a pill after 36hrs.It has been 5 days after taking pill.neither I had withdrawal bleeding nor my periods started.what should I do?
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replied December 29th, 2015
Welcome to e health forum.

The cause of your missed period could either be stress induced or as a result of use of emergency contraceptives.

If your previous cycles were regular and without any variation, and the current change has occurred for the first time, then it is likely that stress or anxiety could be the cause of her missed or delayed cycles. Fear and stress of anxiety about pregnancy or guilt about having intercourse can also be contributing factors.

Stress certainly plays a role in suppressing the functioning of the hypothalamus, which controls the pituitary gland — the body's master gland — which, in turn, controls the thyroid and adrenal glands and the ovaries; they all work together to manage hormones. Any change in the hormonal equilibrium can hence affect the menstrual cycle.

Take proper rest and relax yourself. Stress can induce hormonal changes in the body. Destressing with having proper sleep, healthy balanced diet, meditation, practicing deep breathing exercises (yoga, etc) can be helpful and will keep your menstrual cycles regular. In most women who have such issues, it is likely that their cycles will become regular again in due time.

But if the cycles are persistently irregular, then other causes which cause hormonal imbalances (Eg Dysfunctional uterine bleeding, ovarian cysts and hypothyroidism) need to be ruled out. In such situations, it would be recommended for you to consult a OBGYN doctor, who can examine you and order a few tests (blood tests & ultrasound) which might allow specific diagnosis and proper treatment.
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