A significant number of women worldwide experience premenstrual symptoms such as mood swings, breast tenderness, sleep problems, bloating, and abdominal cramps. However, there are times when these familiar symptoms appear during the luteal phase, but menstruation does not arrive. Read on to learn about the possible causes.
How the menstrual cycle works
Let's first briefly review how the menstrual cycle works. The menstrual cycle begins on the first day of menstruation and ends on the last day before the start of the next menstrual bleeding. A healthy cycle, in which ovulation regularly occurs and hormones are at the correct levels in each phase, usually ranges from 21 to 35 days. However, the length of the cycle can vary from month to month.
So... why might you sometimes experience premenstrual symptoms, but your period doesn't show up?
Possible causes of menstrual symptoms without menstruation
Pregnancy
This is probably the first possibility that comes to most of our minds. It's no surprise, as a missed period is one of the early signs of pregnancy. At the same time, some symptoms in the first days and weeks of pregnancy may coincide with symptoms of premenstrual syndrome, such as spotting, breast tenderness, fatigue, and sleep problems. Therefore, it's definitely a good idea to pop into a pharmacy for a pregnancy test in such a case.
Low body weight
Very low weight or rapid loss of body fat can affect the menstrual cycle in many ways, including a delayed period. A sharp drop in weight, especially in combination with stress, can lead to an anovulatory cycle and menstrual dysfunction. (1) In such a cycle, your period may not arrive, but you may still experience some premenstrual symptoms.
Excessive exercise
Sport and regular physical activity are an important part of a healthy lifestyle. However, nothing should be overdone, and conversely, intense exercise and demanding training can disrupt hormonal balance and affect the course of menstruation.
Results from a 2010 study suggest that up to half of women who exercise intensely may experience minor menstrual cycle disturbances, such as anovulation or irregularities, and one-third of exercising women may have amenorrhea, meaning a missed period. (2)
Stress
Although stress is a natural part of our lives, it can have a significant impact on our health and on the female menstrual cycle. (3) And it doesn't really matter whether it's stress related to work, current life situation, eating or exercise habits, or travel.
Medication
Some medications can affect hormone levels that regulate the menstrual cycle. Primarily, these may include antidepressants or blood thinners, whose side effects can include changes in menstruation. (4)
This category also includes hormonal contraception, which contains synthetic hormones. These prevent conception by suppressing ovulation and preventing implantation of the egg if it were fertilized by sperm. If you have recently started using this form of contraception, it may take some time for your body to acclimatize to the new hormones. During this time, you may experience irregular bleeding while still feeling typical menstrual symptoms. And a similar situation can also begin when stopping contraception.
Medical conditions
Some medical conditions, such as polycystic ovary syndrome or thyroid disorders, can impact the menstrual cycle. PCOS affects 6-12% of women of reproductive age worldwide and is a metabolic and hormonal condition in which a woman's body produces excessive amounts of androgens, male hormones. (5)
PCOS symptoms are varied, but one of them is an abnormal menstrual cycle, resulting in irregular or delayed periods.
The thyroid gland regulates many metabolic and hormonal functions, including body temperature, heart rate, and the menstrual cycle. If its function is disrupted, meaning it is underactive or overactive, it can affect the regularity of the cycle and other menstrual manifestations. (6)
For maximum comfort during your cycle
We have put together a special offer package of popular products for women who suffer from menstrual cramps and discomfort during their menstrual cycle. Everything you need for maximum comfort before your period and during your bleeding days.
What else to read on FEMSPACE?
- Menstrual red flags: 7 signs to watch out for
- How to start tracking your menstrual cycle
- How to swim during your period?
- Can travel affect your period?
- PMS: 5 signs your period is coming soon
- 4 benefits of menstrual products made from organic BIO cotton
Don't forget to follow us on Instagram so you're always the first to know about all the news on the Femspace blog or on the Femvie e-shop!
Femvie products that can help you
We have selected products related to this topic that can support your health:
- 🌿 Organic pads — certified organic pads without chemicals
- 🌿 Organic tampons — organic tampons made from certified organic cotton
- 🌿 Ultra-thin organic panty liners — discreet protection for every day
- 📦 Carefree subscription — your organic menstrual products automatically every month
- 🎁 Trial pack — try Femvie organic menstrual products
Frequently Asked Questions
What are organic menstrual products?
Organic menstrual products are made from certified organic cotton, free from pesticides, plastics, or bleaching chemicals. GOTS certification guarantees ecological processing from field to product.
Are organic tampons safer than conventional ones?
Yes. Conventional tampons may contain trace amounts of pesticides and synthetic fibers. Femvie organic tampons are certified, hypoallergenic, and gentler on intimate areas.
How does Femvie's subscription work?
With the Carefree Subscription, you set the delivery frequency, and your favorite organic products arrive automatically. You save time and never run out of menstrual products.