[26F] Experiencing a significantly delayed menstrual cycle with associated symptoms

What might be happening

Based on the information you have provided, the following could be possible explanations for your symptoms:

• Pregnancy: Given your age, sex, and the symptoms you're experiencing (nausea, stomach pain, heightened sense of smell, loss of appetite, fatigue, and spotting), it's possible that you could be pregnant. Even if you've taken a pregnancy test and it came back negative, it might be worth taking another one or consulting a healthcare provider, as home pregnancy tests can sometimes give false negatives.

  • Confirming a pregnancy typically involves a urine or blood test. If you are pregnant, prenatal care would be the next step.

• Hormonal Imbalance: Hormonal imbalances can cause irregular periods, nausea, and changes in appetite. This could be due to a variety of factors, including stress, changes in weight, or underlying conditions like polycystic ovary syndrome (PCOS).

  • Treatment for hormonal imbalances can vary depending on the cause, but may include lifestyle changes or medication.

• Gastrointestinal Issues: Conditions like gastritis or peptic ulcers can cause nausea, stomach pain, and changes in appetite. However, these conditions typically don't cause changes in menstrual cycles.

  • Treatment for these conditions often involves dietary changes, medication, and in some cases, surgery.

What you can do

1. Take another pregnancy test: If you're sexually active and your period is late, it's possible that you could be pregnant. Even if you've already taken a pregnancy test, it might be worth taking another one, as home pregnancy tests can sometimes give false negatives.

2. Consult a healthcare provider: Given your symptoms and the length of time your period has been late, it would be a good idea to consult a healthcare provider. They can help determine the cause of your symptoms and suggest appropriate treatment.

3. Monitor your symptoms: Keep track of your symptoms and any changes. This information can be helpful for your healthcare provider.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

• Severe abdominal pain
• Vomiting or inability to keep down fluids
• Dizziness or fainting
• Heavy vaginal bleeding

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.