Symptoms of ectopic pregnancy include cramping in your lower abdomen, shoulder pain, weakness or dizziness, nausea, and breast tenderness. Some women have missed periods, while others have vaginal bleeding or spotting. In addition to the use of an IUD, other factors that are associated with ectopic pregnancy include:.
Ectopic pregnancy is a life-threatening condition. Seek medical attention right away if you miss your period and think you might be at risk. Missing a period every once in a while is usually not cause for concern. That said, you should see a doctor if you miss more than one period, or your missed period is accompanied by new or unusual symptoms. Seek medical attention right away if you also experience any of the following:. There are many reasons for late periods, and while most are not cause for alarm, you do need an evaluation and treatment if you have completely missed more than one period.
How your missed periods are treated depends on why you aren't having your period. The treatment can include lifestyle changes, such as diet or stress reduction, or may involve hormone replacement therapy. Doctors usually ask women when they had their last period. However, many women simply don't keep track of their period, and in some cases, they may be too busy to notice they missed a period at all.
If this sounds like you, consider placing a red dot on period days in your calendar. You can also download a "period tracker" app for your smartphone to make tracking your menstrual cycle much easier. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Factors associated with menstrual cycle irregularity and menopause. BMC Womens Health. Berz K, Mccambridge T. Amenorrhea in the female athlete: What to do and when to worry.
Pediatr Ann. Blood biomarker profiling and monitoring for high-performance physiology and nutrition: Current perspectives, limitations, and recommendations. Sports Medicine. Neuroendocrine causes of amenorrhea—an update. J Clin Endocrinol Metab. Evaluation and management of amenorrhea related to congenital sex hormonal disorders. Ann Pediatr Endocrinol Metab. Night shift among women: Is it associated with difficulty conceiving a first birth? Front Public Health. Medical complications of anorexia nervosa.
Cleveland Clinic Journal of Medicine. Rosenfield RL. Clinical review: Adolescent anovulation: maturational mechanisms and implications. Santoro N. Perimenopause: From research to practice. J Womens Health Larchmt. Mount Sinai. Neuroendocrine causes of amenorrhea--an update. Contraceptive use and the risk of ectopic pregnancy: A multi-center case-control study. Diagnosis and management of ectopic pregnancy. Amenorrhea: an approach to diagnosis and management.
Am Fam Physician. Table of Contents View All. Table of Contents. Extreme Exercise. Change in Schedule. Weight Changes. Recently Started Periods. Ectopic Pregnancy. When to Call Your Doctor. Recap Many illnesses and disorders can interfere with your cycle until they are treated.
Irregular Bleeding During Perimenopause. Was this page helpful? Thanks for your feedback! Sign Up. What are your concerns? Article Sources. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Related Articles. Period: Signs, Symptoms, and Complications. What It Means. Getting Two Periods in One Month?
How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? Have you started having periods? Do you think that a medicine could be affecting your periods? Think about whether the problems started when you began taking a new medicine or a higher dose of a medicine.
Is there any chance that you could be pregnant? Has a home pregnancy test shown that you are pregnant? Have you been planning to get pregnant? Do you use a form of birth control that contains hormones? This could be birth control pills, implants, vaginal rings, skin patches, injections, or an IUD that contains hormones. Have your periods been different than what your doctor told you to expect with your birth control?
This could mean that they are lighter or heavier or that you have missed periods when you weren't expecting to. Have you missed two periods for no clear reason, such as pregnancy? If a recent home pregnancy test has said that you are not pregnant, then there is no clear reason for your missed periods.
Have your problems lasted more than 2 cycles? These include: Your age. Babies and older adults tend to get sicker quicker. Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner. Medicines you take. Certain medicines, such as blood thinners anticoagulants , medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
Recent health events , such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious. Your health habits and lifestyle , such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel. Try Home Treatment You have answered all the questions.
Try home treatment to relieve the symptoms. Call your doctor if symptoms get worse or you have any concerns for example, if symptoms are not getting better as you would expect. You may need care sooner. Pain in adults and older children Severe pain 8 to 10 : The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. Moderate pain 5 to 7 : The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days.
Moderate can also mean pain that comes and goes even if it's severe when it's there. Mild pain 1 to 4 : You notice the pain, but it is not bad enough to disrupt your sleep or activities. Shock is a life-threatening condition that may quickly occur after a sudden illness or injury. Adults and older children often have several symptoms of shock. These include: Passing out losing consciousness.
Feeling very dizzy or lightheaded, like you may pass out. Feeling very weak or having trouble standing. Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions. A few examples are: Aspirin and other medicines called blood thinners that prevent blood clots.
Hormonal forms of birth control, such as birth control pills, Depo-Provera injections, Implanon or Nexplanon implants, and the levonorgestrel IUD Mirena. Hormone therapy. Medicines used to treat cancer chemotherapy. Thyroid medicines. Seek Care Today Based on your answers, you may need care soon. Call your doctor today to discuss the symptoms and arrange for care. If you cannot reach your doctor or you don't have one, seek care today.
If it is evening, watch the symptoms and seek care in the morning. If the symptoms get worse, seek care sooner. Seek Care Now Based on your answers, you may need care right away. Call your doctor now to discuss the symptoms and arrange for care. If you cannot reach your doctor or you don't have one, seek care in the next hour. You do not need to call an ambulance unless: You cannot travel safely either by driving yourself or by having someone else drive you.
You are in an area where heavy traffic or other problems may slow you down. Make an Appointment Based on your answers, the problem may not improve without medical care. Make an appointment to see your doctor in the next 1 to 2 weeks. If appropriate, try home treatment while you are waiting for the appointment.
If symptoms get worse or you have any concerns, call your doctor. Call Now Based on your answers, you need emergency care. Call or other emergency services now. Home Treatment There is no home treatment for missed or irregular periods. But the following information may help you find the cause of your missed or irregular periods: Eat a balanced diet.
Being underweight or overweight can cause missed and irregular periods. For more information, see the topics Healthy Eating and Weight Management. If you are an endurance athlete , you may have to cut back on your training. Be sure to talk with your doctor about hormone and calcium supplements to protect against bone loss if you are missing periods.
For more information, see the topic Fitness. If you think you might be pregnant Do a home pregnancy test if you have had sex since your last period. If the result is positive, practice the following good health habits until you see your doctor: Eat a balanced diet. Do not smoke or use other tobacco products. Do not use alcohol or drugs.
Avoid caffeine , or limit your intake to about 1 cup of coffee or tea each day. Do not clean a cat litter box, to avoid the risk of toxoplasmosis. Avoid people who are ill. Take a vitamin supplement that contains folic acid or a prenatal vitamin. Symptoms to watch for during home treatment Call your doctor if any of the following occur during home treatment: You have early symptoms of pregnancy, such as: Missed periods.
Increased urination. Breast tenderness or enlargement. Nausea and vomiting. You have missed more than two menstrual periods in a row. Prevention Here are some steps you can take to help prevent missed or irregular periods. Avoid fad diets that greatly restrict calories and food variety, and avoid rapid weight loss.
To maintain a healthy weight, focus on eating a variety of low-fat foods. Use contraception consistently, as directed by your doctor. For more information, see the topic Birth Control. Increase exercise gradually. Learn and practice relaxation exercises to reduce and cope with stress.
For more information, see the topic Stress Management. You can help your doctor diagnose and treat your condition by being prepared to answer the following questions: What was the date of your last menstrual period? When was your previous period? Was it normal? If you are a teen, do you have regular cycles, such as a period every 21 to 45 days? If you are an adult, do you have regular cycles, such as a period every 21 to 35 days? How old were you when your periods began?
Are you sexually active? What type of birth control are you using? How long have you been using it? Have you missed any birth control pills or failed to have your hormonal injection according to schedule? Have you done a home pregnancy test? When did you do the test? What was the result? Have you been under increased physical or emotional stress?