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An_248401 posted:
am 2 weeks late for my period and i encurred orange bleeding for about an hour and then it stopped. what is the problem???
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Jane Harrison Hohner, RN, RNP responded:
Dear An: If you are sexually active then the first thing to do is to be sure you are not pregnant. Even reliable contraceptive methods such as birth control pills, and tubal ligations can fail. So it is important to get a pregnancy test done first.

If the pregnancy test is negative then the next most common cause of a missed period is not having ovulated that cycle. In a normal cycle, estrogen is produced all month. Estrogen is responsible for building up the lining of your uterus so you have something to shed each month.

In a normal cycle, progesterone production increases following ovulation. Progesterone "stabilizes" the uterine lining in preparation for a possible implantation of a new pregnancy. If you are not pregnant that month the levels of estrogen and progesterone fall, triggering the release of the uterine lining—your period.

So, if you do not ovulate, the estrogen build up of the lining continues, but without the usual ovulation associated progesterone. Thus, the hormone levels don't decline, and the lining stays up inside the uterus—your missed period. Sometimes just the top layer of the lining will begin to shed creating a very scant flow which can be dark brown (exposed to oxygen in the air) or orange (small amounts of blood mixed with vaginal secretions).

Missed ovulations are common and can be caused by: low thyroid problems, pituitary problems, ovarian cysts, physical stressors (eg sudden increases in exercise, crash dieting), emotional stressors (problems with parents or boyfriends/girlfriends,money), increased body weight, anorexia, rotating shifts at work, etc.

I would urge you to see a GYN or your local family planning clinic. They can do a reliable pregnancy test (if indicated) and let you know if a missed ovulation is the cause of the two week delay. IF you are using hormonal birth control they might discuss a change in the method of birth control.

Yours,
Jane


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