Can Depression Make Your Period Late

Can Depression Make Your Period Late Depression Causes Print Can Depression Make Your Period Late? By Nancy Schimelpfening Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be. Learn about our editorial policy Nancy Schimelpfening Medically reviewed by Medically reviewed by Daniel B. Block, MD on January 28, 2020 twitter linkedin Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Daniel B. Block, MD Updated on February 11, 2020 How Stress Impacts Your Health Overview Signs of Burnout Stress and Weight Gain Benefits of Exercise Stress Reduction Tips Self-Care Practices Mindful Living kyoshino / Getty Images There are many  reasons a womans period may be late or her cycle may go off schedule. An obvious one is pregnancy. Others include poor nutrition, excessive exercise, and long-term illness. A less obvious reason for amenorrhea or missing a period, however, is ?depression.?? The link between mental health and reproductive health makes sense when you consider that nature does everything it can to create favorable conditions for reproduction. If a woman is chronically stressed, anxious, sad, or upset, shes really not in a physical or emotional position to go through a pregnancy and then take care of and nurture a child. Under these less than ideal conditions, the female reproductive system can shut down. How Depression Affects the Menstrual Cycle The stress hormone  cortisol is primarily responsible for changes in a womans cycle when shes depressed. As cortisol levels rise in response to stress, the hypothalamus, an organ in the brain that plays an important part in regulating the reproductive system, stops sending signals to the ovaries to do their job.?? Without this signal, ovulation (the monthly release of an egg from the ovary) is either delayed or stopped altogether. The result is a late period or sometimes no period at all. The medical term for absent periods when theres no pregnancy is amenorrhea, which also can be caused by health issues other than stress including problems with the hypothalamus, the pituitary glands, the ovaries, the uterus, or the vagina. Pinpointing the Cause When You Miss a Period Of course, the first thing you should do if your period is late is to take a pregnancy test, which can be accurate as early as the first day of your missed period. If its negative and you dont get your period in a few days  or you completely skip it that cycle, or if youre having chronic problems with menstruation, make an appointment to see your gynecologist. Shell likely do a repeat pregnancy test. If its negative, shell move on to some basic evaluations such as asking you about your  medical history, doing a pelvic exam, and taking blood samples to check your hormone levels. Diagnostic Tests Depending on what these preliminary tests reveal, plus other basic factors such as your age, she may move on to more specific diagnostic methods, which may include: Genetic testing to see if you have fragile X syndromeChromosome evaluation to look for chromosomal variations such as Turner syndromeAn ultrasound computed tomography (CT) scan or magnetic resonance imaging (MRI) scan to make sure your reproductive organs are normalAn MRI to check for a pituitary tumorA hysteroscopy to examine the inside of your uterus Is Depression the Problem? Amenorrhea caused by chronic stress and depression is called hypothalamic amenorrhea. If you tend to eat more or less than usual when youre depressed and have gained or lost weight, that also could play a part in your menstrual irregularities. If your doctor has determined that depression is behind your late or missed periods, getting back on track will be a matter of finding an effective way to reduce your stress and treat your depression. Treatment Options There are many different ways to treat irregular or absent periods depending on your overall mental health and menstrual irregularities. This can include a wait and see approach (if its only happened a handful of times), stress management strategies, therapy, and/or prescription medication. Consult with your gynecologist or mental health care professional to determine the type of treatment plan thats best for your physical and mental health. Lifestyle Changes Making an effort to manage stress will reduce your risk of becoming depressed and missing your period. In addition to eating a well rounded diet and practicing good sleep hygiene, try to incorporate stress-lowering activities into your day. While there isnt a one size fits all option when it comes to stress relief, a few ideas to consider include: YogaMeditationDeep breathingLight exercise (such as walking)JournalingSupport groups (online or in-person) 17 Highly Effective Stress Relievers Prescription Medication An antidepressant, such as Prozac (fluoxetine) or Zoloft (sertraline), can be an effective way to relieve symptoms of depressionâ€"but its not right for everyone. In addition to possible side effects, some antidepressants can even cause your period to be late or delayed. You may even be prescribed oral contraceptives  to create a regular schedule of withdrawal bleeds, however, combination birth control pills have been linked to depression, so make sure to alert your doctor to your mental health history. It may take some trial and error, but it is possible to get back to feeling normal and your body back to functioning normally. Do You Know About All the Treatment Options for Depression?