Missed Period but Not Pregnant? 12 Common Reasons and When to See a Doctor

A missed period with a negative pregnancy test is common and often caused by stress, weight change, intense exercise, hormonal contraception, PCOS, thyroid problems, breastfeeding or approaching menopause. If your period is more than a week late, repeat the pregnancy test; if periods stop for three months or more, see a doctor.

12 common reasons

  1. Stress: exams, work pressure, relocation or grief can delay ovulation
  2. Weight loss or low body weight
  3. Weight gain or obesity
  4. Intense exercise, especially with low calorie intake
  5. Polycystic ovary syndrome (PCOS)
  6. Thyroid problems (overactive or underactive)
  7. Hormonal contraception (pill, implant, injection, hormonal IUD), or stopping it
  8. Breastfeeding
  9. Perimenopause
  10. Shift work and travel across time zones disrupting body clock
  11. Medicines: some antipsychotics, antidepressants, steroids, chemotherapy
  12. High prolactin or other hormone conditions

Could I still be pregnant?

A test taken too early can be negative. Repeat it a week later using first-morning urine. If periods remain absent and you’ve had unprotected sex, test again.

When to see a doctor

  • No period for 3 months (or longer than your usual cycle × 3)
  • Periods stop before age 45
  • Repeated negative tests but symptoms of pregnancy
  • Excess hair growth, acne or weight gain (possible PCOS)
  • Milky discharge from the nipples
  • Headaches or vision changes
  • Very low weight or disordered eating
  • Pelvic pain or unusual bleeding

What tests might be done?

Pregnancy test, blood tests for thyroid, prolactin and other hormones, and sometimes a pelvic ultrasound.

Frequently asked questions

Can stress really stop a period?

Yes. Stress affects the brain hormones that control ovulation.

Is a late period normal sometimes?

Occasional variation of a few days is normal.

Related reading: PCOS guide · Early signs of pregnancy · Perimenopause

Checked against NHS guidance on missed periods. Updated 5 November 2026.

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