Delayed, missed, or no period often raises huge anticipation for pregnancy in women who are trying to conceive. In fact during the reproductive years of a woman's life, a failure to menstruate or no period is often considered as an indication that she is pregnant. But not always will a missed or no period be considered as a pregnancy symptom.
This is because there are many cases wherein a woman experiences PMS without period, and she is not pregnant. What is PMS, and what are the various factors that contribute to this problem, we will know in the following sections.
Premenstrual Syndrome (PMS): Symptoms
PMS involves physical and psychological changes that a woman experiences just a couple of hours or days before her menstruation begins. Majority of the women experience PMS symptoms, though the severity, onset, and duration of these symptoms may vary from woman to woman.
For some women, these symptoms are so mild that they subside in a day or so after the period begins, while for others, it can be severe, and may cause too much discomfort.
Main Cause: Hormonal Changes
The major cause for premenstrual syndrome is the hormonal changes the body undergoes during the entire menstrual cycle. On an average, a period lasts between 3 to 5 days. An average menstrual cycle is 28 days long. The cycle can be divided into three stages, the follicular, ovulatory, and luteal stages.
The follicular stage begins with menstrual bleeding along with shedding of the uterine wall lining. The levels of estrogen and progesterone hormones are low, but as the day progresses, the level of follicle stimulating hormone (FSH) starts increasing in order to stimulate the ovaries to release an egg.
During the ovulatory stage, the levels of luteinizing hormones and FSH increase, and as a result, the egg or ovum is released by one or both the ovaries in case of fraternal twins.
Finally in the luteal stage, if the released egg is fertilized, a woman is considered to be pregnant, and there will be no period. But if it is not fertilized, the levels of luteinizing hormones (LH) and the follicle stimulating hormones (FSH) fall, the egg starts disintegrating, and the body starts preparing itself for having the next period.
All these hormonal changes and fluctuations in the estrogen and progesterone levels lead to PMS symptoms in women. All these factors also contribute to symptoms after periods.
The major cause for the symptoms of PMS without periods are hormonal imbalance and pregnancy. Here are some other probable causes for this.
Birth Control Pills
Another cause can be the use of birth control pills, as they can affect your regular menstrual cycle, and can delay your period by a few days.
Menopause, which is the end of a woman's monthly menstruation cycle or the fertile period of her life, can also bring some substantial changes in the frequency, duration, and the nature of the menstrual cycle.
Other diseases like Polycystic Ovarian Syndrome (PCOS) or ovarian cyst, Premature Ovarian Failure (POF), ectopic pregnancy, bulimia, etc., can also be some probable causes.
The causes can be myriad, and not all of them may be of serious health concern. However, if there is a considerable delay in your period, and the symptoms become severe with time, do a pregnancy test. If it comes negative, consult your gynecologist to diagnose the underlying cause for having these PMS symptoms but without periods.
Disclaimer: This is for informative purposes only, and should not be used as a replacement for expert medical advice.