Menstrual Period – Missed or Late

Is this your child’s symptom?

Late or missed menstrual period
Late period: 5 or more days late compared to normal menstrual cycle
Missed period: no menstrual flow for more than 6 weeks
Teen not using any birth control that stops periods. These products include birth control shots, implants, and IUDs with hormones.

Skipping periods is common during the first 1 to 2 years after they start. This is due to not releasing an egg each month.
This is most likely the cause if less than 2 years since the first period
Has missed periods in the past or has had only 1 or 2 periods
Otherwise healthy
No signs of pregnancy such as breast tenderness, breast swelling or nausea

Home urine pregnancy tests do not cost very much. They are easy to use. Most drugstores sell these tests. No prescription is needed.
Urine pregnancy tests are very accurate. They can turn positive as early as the first week after a missed period.
It is best to do the pregnancy test first thing in the morning. Reason: hormone levels are higher in the morning urine.
Sometimes, a home test is negative even if you think you might be pregnant. In this case, repeat the test. Do the repeat test in 3-5 days. You can also go to a doctor’s office for testing.
A pregnancy testing fact sheet can be found at www.womenshealth.gov. Search “pregnancy tests.”

Pregnancy Suspected or Possible

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What You Should Know About Late Periods if Having Sex:
- Menstrual periods stop when a woman becomes pregnant.
- A woman with a missed or late period should think about pregnancy.
- Here is some care advice that should help.
Pregnancy Test, When in Doubt:
- If there is a chance that you might be pregnant, use a urine pregnancy test.
- You can buy a pregnancy test at any drugstore.
- It works best first thing in the morning.
- Follow all package instructions.
Call Your Doctor If:
- You have trouble with the home pregnancy test
- Pregnancy test is positive
- Misses 2 periods and pregnancy test is negative
- Your teen develops any serious symptoms

First Period Started Less than 1 Year Ago

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What You Should Know About First Periods in Young Teens:
- Skipping periods is common during the first 1 or 2 years after they start.
- It doesn’t mean anything serious or cause any harm.
- A girl can normally go up to 6 months between the first and second periods.
- Also, a girl can go up to 4 months between the second and third periods.
- Normal irregular periods can go on for 2 years.
Call Your Doctor If:
- Misses 4 periods
- New symptoms suggest pregnancy (such as morning sickness)
- You have other questions

Recent Stress Causing Late Period

What You Should Know about Stress and Late Menstrual Periods:
- Stress can disrupt normal menstrual cycles.
- Try to help your daughter deal with the stress by talking about it.
- Also, try to avoid or decrease stressors.
- If this does not help, seek help from a counselor.
Call Your Doctor If:
- Misses 2 periods
- Your daughter needs help coping with stress
- New symptoms suggest pregnancy (such as morning sickness)
- You have other questions