With PCOS, cycles often run longer than usual, so this gap isn't automatically worrying on its own. But breast tenderness, mood swings and constipation lasting more than two weeks, together with a missed period and a negative
pregnancy test, is worth getting checked rather than waiting it out further.
Next Steps
Repeat the urine
pregnancy test after a few more days if your period still hasn't started, since an early test can occasionally miss it. A pelvic ultrasound and a hormone panel, including
thyroid and
prolactin, will help your gynaecologist understand why this cycle has stretched out.
Health Tips
Since your period is missed, your doctor will also want to rule out an early pregnancy complication like miscarriage or ectopic pregnancy before settling on PCOS as the cause. See your gynaecologist sooner if you develop fever, one-sided pelvic pain, or unusually heavy bleeding once your period does start.