How to stimulate menstruation when it is delayed

Sep 11, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, delayed menstruation may be caused by excessive mental stress, irregular作息 (作息紊乱 translates to "irregular作息", but in English, it should be "irregular lifestyle or作息" where "作息" refers to rest and activity patterns), endocrine disorders, polycystic ovary syndrome (PCOS), intrauterine adhesions, or other factors. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition through general treatment and medication under a doctor's guidance. In daily life, it is important to stay warm and avoid getting chilled, especially in the abdominal and waist areas.

Generally, delayed menstruation may be caused by excessive mental stress, irregular作息 (作息 should be translated as "lifestyle habits" or "作息" can be transliterated as "rest-activity cycle"), endocrine disorders, polycystic ovary syndrome, or intrauterine adhesions. It is recommended to seek timely medical consultation, identify the underlying cause, and then improve the condition through general treatment or medication under a doctor's guidance. A detailed explanation is as follows:

1. Excessive Mental Stress: Long-term anxiety and tension can interfere with the hypothalamic-pituitary-ovarian axis function, affecting hormone secretion and resulting in delayed menstruation. Alleviate stress through exercise, listening to music, or confiding in others; maintaining emotional stability can help restore hormone levels and promote menstrual onset.

2. Irregular Lifestyle Habits: Chronic late-night sleeping or inverted day-night cycles can affect estrogen and progesterone secretion, leading to delayed menstruation. Adjust your rest-activity cycle by going to bed and waking up at fixed times daily, ensuring 7-8 hours of sleep; avoid using electronic devices before bedtime and create a favorable sleep environment. Regulating lifestyle habits can help normalize endocrine function and restore the menstrual cycle.

3. Endocrine Disorders: Hormonal imbalances can cause ovulation abnormalities, leading to delayed menstruation. Patients should follow medical advice to take medications such as dydrogesterone tablets, progesterone soft capsules, or medroxyprogesterone acetate tablets to supplement progesterone, promote endometrial shedding, and induce menstruation.

4. Polycystic Ovary Syndrome: Elevated androgen levels and ovulation disorders can cause delayed menstruation, possibly accompanied by hirsutism and obesity. Patients should follow medical advice to use medications such as ethinylestradiol cyproterone tablets, drospirenone ethinylestradiol tablets, or desogestrel ethinylestradiol tablets to regulate hormone levels, reduce androgen levels, and restore ovulation.

5. Intrauterine Adhesions: Uterine surgery or inflammation may cause endometrial adhesion, blocking menstrual blood flow and causing delayed or even absent menstruation. Mild adhesions can be treated with medications such as estradiol valerate tablets, conjugated estrogen tablets, or progesterone capsules as directed by a doctor to promote endometrial repair and relieve adhesions.

In daily life, keep warm and avoid getting chilled, especially in the abdominal and waist areas; maintain external genital hygiene and avoid unclean sexual practices. Strictly follow medical instructions during treatment, attend regular follow-up appointments, and through scientific care and treatment, help restore a regular menstrual cycle.

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