A late period has many causes, and the most famous is not the most common. Pregnancy is possible if it is possible in your situation — but stress, weight change, hard training, thyroid trouble and PCOS all delay a period, and all of them happen more often than you would think.

First, though: if pregnancy is possible, a test from the first day of the missed period is the only way to know. No list of symptoms and no app — this one included — can answer that question for you.

How many days counts as late?

A cycle is not measured against 28. The usual range is every 24 to 38 days, and anything beyond that is classed medically as an infrequent cycle.

In a study of more than six hundred thousand cycles, the average length was 29.3 days, and 7% of cycles ran between 36 and 50 days. A long cycle is not a rare event, and on its own it does not mean something is happening.

The truer measure is not the general number but yours. A woman whose period comes every 32 days is not late on day 30; a woman whose period comes every 26 days genuinely is late on day 32.

7% of cycles

7% of cycles run between 36 and 50 days — about one cycle in fourteen.Real-world menstrual cycle characteristics of more than 600,000 menstrual cycles — Bull JR et al. — npj Digital Medicine 2:83

Whether you are pregnant: the only answer

A home pregnancy test is reliable from the first day of your missed period. If you do not know when it was due, take it at least twenty-one days after the last time you had unprotected sex.

If the result is negative and your period still has not come, repeat it after a few days. If it stays negative and the period has still not arrived, that is the point to see a doctor — because the cause is then something else worth knowing.

The other causes, and what marks each one

CauseHow it showsWhat marks it
StressOne or two late cycles during a hard stretchPasses with its cause, and the cycle returns on its own
Rapid weight lossCycles spacing out, then stoppingTied to sharp loss or a strict diet
Weight gainSpacing out and irregularityUsually comes with other signs, such as more hair growth
Hard trainingSpacing out or stopping during heavy blocksAppears as training load rises, not with ordinary exercise
PCOSRepeated long cycles, or fewer than eight periods a yearUsually alongside more hair growth or persistent acne
ThyroidSpacing out, or heavier, or lighterComes with tiredness, weight change, or a change in temperament
PerimenopauseCycles of varying lengthUsually begins between 45 and 55
Hormonal contraceptionLighter bleeding, or noneStarts when the method starts or changes
BreastfeedingAbsent or infrequent periodsReturns gradually as feeds reduce
The commonest causes of a late period other than pregnancy, and what separates them.

Three questions that decide your next step

  1. How many days past its usual date?Your usual date, not day 28.
  2. Is pregnancy possible?Any unprotected sex since your last period.
  3. Are there other signs with it?Hair growth, heavy tiredness, weight change, or pain.
Pregnancy is possibleTake a test from the first day it is late. If it is negative and the period has not come, repeat after a few days.
Less than a week late, no other signsWait. One late cycle during a stressful stretch or after travel is ordinary, and usually returns on its own.
Three late cycles in a rowBook an appointment. That is the threshold medical guidance gives.
Late, with hair growth, tiredness or weight changeBook an appointment rather than waiting for three cycles. These are signs that deserve tests.

If this is the first time, the odds are it is a one-off and it returns. Log the day it arrives when it does: two or three recorded cycles are enough to give you a date of your own to measure against, instead of a general number that was never about you.