Why hasn't my period come and I'm not pregnant?

Nov 28, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

"Da Ma" refers to menstruation. Typically, the absence of menstruation without pregnancy may be related to factors such as excessive mental stress, extreme weight loss, perimenopause, polycystic ovary syndrome (PCOS), anemia, and others. It is recommended that patients seek timely medical consultation at a hospital and follow medical advice for treatment. In daily life, women are advised to maintain healthy lifestyle habits and a positive mindset, and undergo regular gynecological examinations to monitor their health status.

　　"Da Ma" refers to menstruation. Usually, the absence of menstruation without pregnancy may be related to excessive mental stress, excessive weight loss, perimenopause, polycystic ovary syndrome (PCOS), anemia, and other factors. It is recommended that patients seek timely medical consultation and follow medical advice for treatment. Detailed analysis is as follows:

　　1. Excessive Mental Stress: Long-term mental stress and emotional fluctuations may cause endocrine system disorders, thereby affecting the normal menstrual cycle. It is recommended to adjust lifestyle, maintain regular作息 (作息 translates to作息 time作息 time作息 time作息 time), ensure sufficient sleep and rest, and avoid excessive fatigue and stress.

　　2. Excessive Weight Loss: When the body lacks sufficient energy or has an excessively low fat percentage, the function of the reproductive system may be suppressed, including reduced secretion of sex hormones, leading to amenorrhea (absence of menstruation). It is recommended to resume normal eating habits, exercise moderately, and seek guidance from a nutritionist when necessary.

　　3. Perimenopause: Women over 45 years old typically have entered the perimenopausal stage, where ovarian function gradually declines and estrogen levels significantly decrease, potentially causing menstrual irregularities or amenorrhea. Symptoms may include hot flashes, sweating, fatigue, and memory decline. This is a normal physiological phenomenon and generally does not require special treatment.

　　4. Polycystic Ovary Syndrome (PCOS): PCOS is a common gynecological endocrine disorder, primarily characterized by menstrual irregularities, hirsutism (excessive hair growth), acne, and other symptoms. Under a doctor's guidance, medications such as dydrogesterone tablets, spironolactone tablets, and progesterone capsules may be used to regulate hormone levels and improve menstrual conditions.

　　5. Anemia: Anemia leads to insufficient blood supply in the body, making it difficult to maintain normal endometrial growth and shedding. Symptoms may include dizziness, fatigue, and pale complexion. Patients need timely treatment under medical guidance using medications such as compound ammonium ferric citrate syrup, ferrous fumarate tablets, and ferrous sulfate sustained-release tablets.

　　In daily life, it is recommended that women maintain good habits and a positive mindset, and undergo regular gynecological examinations to monitor their health status.

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