Does depression delay your menstruation?

There are many reasons for women’s delayed menstruation or delayed menstrual cycle. One obvious is pregnancy. Others include malnutrition, excessive exercise and long-term illness. However, a less obvious cause of amenorrhea or menopause is depression.of

The connection between mental health and reproductive health makes a lot of sense when you consider that nature does its best to create favorable conditions for reproduction.

If a woman is in a state of stress, anxiety, sadness or restlessness for a long time, then her physical or emotional state is really not suitable for going through pregnancy and then taking care and raising children. Under these less than ideal conditions, the female reproductive system may shut down.

Watch now: 7 most common types of depression

How depression affects the menstrual cycle

The stress hormone cortisol is the main cause of menstrual cycle changes when women are depressed. As cortisol levels rise due to stress, the hypothalamus is an organ in the brain that plays an important role in regulating the reproductive system and stops sending signals to the ovaries to complete its work.

Without this signal, ovulation (the ovary releases one egg per month) will either be delayed or stop completely. The result is delayed menstruation or sometimes no menstruation at all.

The medical term for absent without pregnancy is amenorrhea, which can also be caused by health problems other than stress, including problems with the hypothalamus, pituitary gland, ovaries, uterus, or vagina.

Find out the cause of missed periods

Of course, if your menstrual period is late, the first thing you need to do is to make an early pregnancy test strip, which can be accurate as early as the first day of your missed period. If the result is negative and you have not had your period within a few days, or you skipped that cycle altogether, or if you have chronic menstrual problems, please make an appointment to see your gynecologist.

She may do a repeat pregnancy test. If the result is negative, she will continue with some basic evaluations, such as asking your medical history, performing a pelvic exam, and taking blood samples to check your hormone levels.

Diagnostic test

Based on what these preliminary tests show, and other basic factors, such as your age, she may move to more specific diagnostic methods, which may include:

  • Chromosome evaluation to look for chromosomal variations, such as Turner syndrome
  • Genetic testing to see if you have Fragile X syndrome
  • Hysteroscopy to examine the inside of the uterus
  • MRI for examining pituitary tumors
  • Ultrasound computed tomography (CT) scan or magnetic resonance imaging (MRI) scan to make sure your reproductive organs are normal

Is depression a problem?

Amenorrhea caused by chronic stress and depression is called hypothalamic amenorrhea. If you tend to eat more or less than usual when you are feeling down and gain or lose weight, this may also cause your menstrual irregularities.

If your doctor determines that your menstruation is delayed or you missed depression, getting back on track will require finding an effective way to reduce your stress and treat your depression.

treatment plan

Depending on your overall mental health and irregular menstruation, there are many different ways to treat irregular menstruation or absenteeism. This can include wait-and-see methods (if it only happens a few times), stress management strategies, treatments, and/or prescription drugs.

Consult your gynecologist or mental health professional to determine the type of treatment plan that best suits your physical and mental health.

Lifestyle changes

Efforts to manage stress will reduce your risk of becoming depressed and missing menstruation. In addition to eating a comprehensive diet and maintaining good sleep hygiene, try to incorporate stress-reducing activities into your day.

Although there is no one-size-fits-all option for stress relief, some ideas to consider include:

  • Take a deep breath
  • Journal
  • Light exercise (such as walking)
  • meditation
  • Support group (online or face to face)
  • Yoga


Antidepressants, such as Prozac (fluoxetine) or Zoloft (sertraline), can be effective ways to relieve symptoms of depression, but they are not suitable for everyone. In addition to possible side effects, some antidepressants can even delay or delay your menstruation.

You may even be prescribed oral contraceptives to set a regular bleeding withdrawal schedule. However, combined contraceptives are associated with depression, so be sure to remind your doctor of your mental health history. This may require some trial and error, but it is possible to return to normal feelings and your body to return to normal functioning.