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What should I do if I haven't had a menstrual period and am not pregnant?

Nov 08, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Menstruation usually refers to a menstrual period. Generally, if menstruation does not occur and pregnancy is not the cause, it may be due to malnutrition, excessive mental stress, endocrine disorders, endometrial adhesion, polycystic ovary syndrome (PCOS), or other related conditions. Treatment options, including general management, medication, or surgical intervention, should be chosen under a doctor's guidance. If physical discomfort occurs, it is recommended to seek timely medical attention and undergo treatment under the supervision of a qualified physician.

　　Menstruation usually refers to the menstrual period. Generally, if menstruation does not occur and pregnancy is not involved, it may be caused by malnutrition, excessive mental stress, endocrine disorders, endometrial adhesion, or polycystic ovary syndrome (PCOS). Treatment options, including general management, medication, or surgery, should be chosen according to medical advice. If physical discomfort occurs, it is recommended to seek timely medical attention and undergo treatment under the guidance of a qualified physician. Detailed explanations are as follows:

　　1. Malnutrition: Malnutrition may lead to changes in hormone levels in the body, thereby affecting the menstrual cycle. In addition to delayed menstruation, symptoms such as reduced menstrual flow, weight loss, pale complexion, dizziness, and fatigue may also occur. Increasing nutritional intake, especially iron-rich and nourishing foods such as lean meat, pork liver, and red dates, is recommended.

　　2. Excessive Mental Stress: Prolonged mental stress can cause psychological stress disorders, affecting hormone secretion and leading to endocrine disorders. Besides delayed menstruation, symptoms such as mood swings, anxiety, insomnia, and headaches may also occur. It is recommended to adjust one's mindset, relax, and engage in appropriate recreational activities such as exercise, singing, or shopping.

　　3. Endocrine Disorders: Abnormalities in the body's endocrine system can lead to imbalances in hormone levels. In addition to delayed menstruation, symptoms such as obesity, hirsutism (excessive hair growth), acne, and infertility may also occur. Medications such as progesterone capsules, medroxyprogesterone acetate tablets, or methimazole tablets may be used under medical guidance.

　　4. Endometrial Adhesion: Damage to the endometrium causes partial or complete blockage of the uterine cavity. Patients may also experience symptoms such as abdominal pain and back pain. Patients should visit a reputable hospital for hysteroscopic adhesiolysis, which can help alleviate the above symptoms.

　　5. Polycystic Ovary Syndrome (PCOS): PCOS is a common reproductive endocrine and metabolic disorder. Patients may also experience symptoms such as obesity, hirsutism, acne, infertility, and metabolic abnormalities. If medication proves ineffective and fertility is desired, laparoscopic ovarian drilling or in vitro fertilization (IVF) with embryo transfer at a reputable hospital may be considered.

　　In daily life, patients should maintain good lifestyle habits and a positive mindset to promote recovery and overall health.

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