I am sexually active. Why is my period delayed?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Since you are sexually active and not using protection, the first and most important possibility to consider is pregnancy, especially with your period being 23 days late, which has never happened before.

Even if you are on birth control pills, missing doses, taking them irregularly, vomiting, or taking certain medications (like some antidepressants or antibiotics) can reduce their effectiveness.

I recommend taking a home pregnancy test as soon as possible, preferably first thing in the morning when your urine is most concentrated. If the test is negative and your period still does not come within a week, repeat it or do a blood test, which is more accurate.

Other possible causes of a missed or delayed period include stress, hormonal imbalance, sudden weight change, thyroid issues, or side effects from antidepressants or the birth control itself.

It would help to know whether you have recently changed your pill brand, missed any doses, or had any symptoms like breast tenderness, nausea, fatigue, or pelvic cramping, as these can guide what is going on.

Could you tell me if you have taken your birth control pills consistently and whether you have noticed any pregnancy-like symptoms recently?

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.