Why am I having delayed periods even after the pregnancy test being negative?

Q. I am 20 days late and have abdominal cramps after taking I-pill. Please help.

Answered by
Dr. Ashok Kumar
and medically reviewed by Dr. Chithranjali Ravichandran
This is a premium question & answer published on May 16, 2021 and last reviewed on: Jun 02, 2021

Hi doctor,

I had unprotected sex on the 23rd of last month, keeping in mind that my ovulation date was on the 25 to the 27th. But I took an I-pill the following morning. I should get my periods on the 15th of this month. I took a pregnancy test on the 17th. It was negative. There is no period till now. I am very worried as it is 20 days delayed in my periods, and I am also having abdominal cramps.



Welcome to icliniq.com.

I read your query and understand your concerns.

There are two possible causes for delayed periods in your case.

1. First, the use of an emergency contraceptive pill. This is because the I-pill contains sex hormones that lead to hormonal imbalance and leading to disturbed periods. The effects can remain there for one to three months and often self-limiting.

2. The other possible cause is stress associated with the risk of pregnancy. This is because the stress increases the serum cortisol levels and which further causes hormonal imbalance.

Pregnancy is another reason for you as the intercourse was very close to your ovulation time, but the risk is negligible since you tested negative after 20 days of intercourse. This is important to mention here that urine pregnancy test kits can detect pregnancy after 15 days of conception in a majority of cases.

I hope this helps you.

Feel free to write back to me if you have more questions.

Thanks and regards.

Doctor I will test for pregnancy again on Monday and tell you.I sincerely hope I'm not pregnant.I hope I get periods soon.
# Dear Tanu,
Thanks for reverting back to me.

My previous answer to your question mentioned three possible causes for missed periods in your case. Since the third option is ruled out we need to focus on two other causes.

As Mentioned in the past the most probable reason for missed periods is hormonal imbalance due to use of emergency contraceptive pill. As suggested above this may take upto three months to have normal period so it is important to have patience rather than anything else. Wait and watch is policy is advisable as body heals itself from the hormonal imbalance and and doing nothing yields as better results as doing something.

In regard to other possible cause mentioned above I think it is time to manage the stress to appropriate level. Although there are many Do's and Dont's when it comes to stress management I am writing down few of the strategies which might be helpful for you.

1. Meditation and Yoga
2. Regular physical exercise
3. Regular diet
4. Increase fluid intake
5. Use antioxidants- Fresh fruits are rich source of them
6. Engage yourself with meaningful work
7. Connection with family and friends
8. Engagement with leisure activities of your choice

To conclude I like to inform you that there is nothing serious in missed periods after using Ipill since the pregnancy is ruled out.

I hope this helps you further.
Thanks again.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Delayed period after abortion. Please help.

.. her to wait for a week for her period to start. If it does not start by then, she can repeat urine pregnancy test. If the test turns out to be negative, ask her to take tablet Medroxyprogesterone acetate 10 mg twice daily for five days.   Read full

Pregnancy tests are negative, but am still having pregnancy symptoms. Why?

I went to the doctor, but the pregnancy blood test came back negative, and the home pregnancy tests are also negative ... Get a urine pregnanc   Read full

Pregnancy test shows negative, shall I take medicine to induce periods?

 However, I have no symptom and all the pregnancy tests are negative ... In your case, if pregnancy test has been negative, even till date, then you are surely not   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Sexologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.