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Reasons for Delayed Menstruation

Mar 18, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
After a woman becomes pregnant, the levels of estrogen and progesterone in her body increase. The fertilized egg implants into the endometrium, and at this point, the endometrium no longer sheds, leading to the cessation of menstruation and a delayed menstrual period. Pregnancy is a natural physiological process that does not require special treatment. Women who are planning to conceive should undergo prenatal care and regular antenatal examinations.

Generally speaking, "daima" refers to menstruation. Possible causes of delayed menstruation include pregnancy, unhealthy lifestyle habits, endocrine disorders, intrauterine adhesions, and endometritis. Prompt medical consultation is necessary, and treatment should follow medical advice. Detailed information is as follows:

1. Pregnancy: After becoming pregnant, women experience increased levels of estrogen and progesterone. The fertilized egg implants into the endometrium, and at this time, the endometrium no longer sheds, causing menstruation to stop and appear delayed. Pregnancy is a natural physiological process that does not require special treatment. If a woman plans to become pregnant, prenatal care and regular check-ups during pregnancy are important.

2. Unhealthy lifestyle habits: Long-term late-night activities, excessive dieting for weight loss, heavy smoking, and alcohol consumption may lead to endocrine disorders in women, thereby affecting the menstrual cycle and causing delayed menstruation. Lifestyle habits should be improved, including maintaining regular sleep schedules and avoiding staying up late; eating a balanced diet while avoiding excessive dieting or overeating.

3. Endocrine disorders: Endocrine imbalances in women, such as abnormal estrogen secretion, may cause slower growth of the endometrium, thereby affecting the menstrual cycle, causing delayed periods, and possibly accompanied by acne. Under medical guidance, drugs such as Xiaoyao Pills, Wujizifenfeng Pills, and progesterone capsules may be used to nourish blood, regulate menstruation, and supplement progesterone.

4. Intrauterine adhesions: Intrauterine adhesions usually result from repeated abortions, curettage, or other intrauterine procedures that cause endometrial injury, leading to adhesion formation, which affects normal growth and shedding of the endometrium, causing delayed menstruation and possibly accompanied by lower abdominal pain. Under a doctor's guidance, anti-inflammatory treatment can be administered using medications such as Amoxicillin Capsules, Cefixime Granules, and Cefuroxime Axetil Granules.

5. Endometritis: Endometritis is an inflammatory condition of the endometrium, usually caused by bacterial infection. Inflammation can lead to pathological changes such as congestion and edema of the endometrium, affecting its normal growth and shedding, resulting in delayed menstruation, and may also be accompanied by increased vaginal discharge. Under medical guidance, medications such as Metronidazole Tablets, Tetracycline Tablets, and Penicillin V Potassium Tablets may be used for antibacterial treatment.

During treatment, women should maintain a positive mindset and cooperate actively with their doctors' treatment and recommendations.

References:

1. Xie Xing, Kong Beihua, Duan Tao. Obstetrics and Gynecology [M]. 9th Edition. Beijing: People's Medical Publishing House, 2018: 343-348.

2. Zhu Lan, Lang Jinghe. Chinese Obstetrics and Gynecology [M]. 4th Edition. Beijing: People's Medical Publishing House, 2019: 1120-1125.

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