What does it mean when menstruation hasn't come and there is no vaginal discharge?

　　"Auntie" is usually a euphemism for menstruation. The absence of menstruation and lack of vaginal discharge are typically caused by factors such as pregnancy, endocrine disorders, perimenopausal syndrome, polycystic ovary syndrome (PCOS), or premature ovarian failure. A hospital examination is necessary to determine the specific cause and receive targeted treatment. Detailed explanations are as follows:

　　1. Pregnancy: If a woman has missed her period and has no vaginal discharge, and if unprotected sexual intercourse has occurred, the above symptoms may indicate pregnancy. It is recommended that women undergo an HCG test at a hospital to confirm whether they are pregnant.

　　2. Endocrine disorders: Factors such as staying up late and high levels of mental stress can lead to endocrine imbalances and hormonal disturbances in women, resulting in absent menstruation and reduced vaginal discharge. Other possible symptoms include irritability and insomnia. Women should maintain regular sleep patterns and manage stress effectively.

　　3. Perimenopausal syndrome: During the perimenopausal period, fluctuations in sex hormone levels can lead to perimenopausal syndrome, which may present with hot flashes, irritability, insomnia, frequent dreams, palpitations, delayed or absent menstruation, and decreased vaginal discharge. Women should follow medical advice to take medications such as tibolone tablets, dydrogesterone tablets, or compound estradiol tablets.

　　4. Polycystic ovary syndrome (PCOS): PCOS is a common endocrine and metabolic disorder characterized by elevated levels of androgens and reduced estrogen, leading to symptoms such as acne, obesity, and menstrual irregularities, including reduced vaginal discharge and delayed periods. Treatment may include medications such as medroxyprogesterone acetate tablets, progesterone soft capsules, or spironolactone tablets, taken under medical supervision.

　　5. Premature ovarian failure: This condition generally refers to diminished ovarian function in women before the age of 40, causing the ovaries to lose normal function. Symptoms include amenorrhea (absence of menstruation), insomnia, hot flashes, vaginal dryness, and reduced vaginal discharge. Women may be prescribed medications such as nylestriol tablets, compound valerate estradiol tablets, or combination packages of estradiol and dydrogesterone tablets, following a doctor's instructions.

　　Women should schedule exercise time reasonably, avoid intense physical activity, and refrain from prolonged heavy physical labor.