What is the reason for the delay of menstruation for more than ten days?

Many women of childbearing age are often troubled by gynecological diseases, and irregular menstruation has become another major disease for modern women. There are many diseases caused by irregular menstruation, such as infertility, uterine fibroids, fallopian tube abnormalities, etc. Delayed menstruation for more than ten days is also a major manifestation of irregular menstruation. If your period is delayed for more than ten days, you must pay attention to it. There may be many reasons for it. The following are some common reasons for delayed menstruation:

1. Pregnancy

For women of childbearing age who have had sexual life, when their menstruation is delayed, they often doubt whether it is menstruation abnormality or they are pregnant. This problem is a very common phenomenon in daily life. How to rule out pregnancy and how to determine whether it is a menstrual disease are the first issues that need to be clarified. First, determine whether you are pregnant. If your menstrual cycle has always been normal, with no signs of delay, and there are some signs of pregnancy, you should use an early pregnancy test strip to test your urine on the fifth day after your delayed period (or the fifth day calculated from the start of your period). If the test result is positive, you should have a gynecological pelvic examination. If the cervix changes to purple-blue, the uterus is full or enlarged, and there may be accompanying symptoms such as breast tenderness and nausea, you can be diagnosed with pregnancy. Of course, B-ultrasound can also quickly determine whether you are pregnant.

2. Side effects of drugs

For example, endocrine disorders after long-term use of contraceptives can also cause delayed menstruation. Doctors also found, based on patient feedback, that a new generation of gastrokinetic drug, metoclopramide, also known as domperidone, may also cause this condition. Since metoclopramide does not easily cross the blood-brain barrier, it is believed that it has no inhibitory effect on central dopamine receptors. Central dopamine receptors are inhibited, resulting in a decrease in the amount of hypothalamic release factors entering the anterior pituitary. As a result, the anterior pituitary secretes less gonadotropin and corticotropin, leading to amenorrhea and delayed ovulation.

3. Surgery

1. Menstruation after surgical or medical abortion is determined by the degree of recovery of the endometrial wall, which may cause delayed menstruation to a large extent.

2. Uterine surgery can cause cervical adhesions and lead to menstrual blood stasis, thus delaying menstruation.

4. Endocrine disorders

Endocrine reasons such as polycystic ovary syndrome and premature ovarian failure can also lead to delayed menstruation. Timely examination should be carried out and treatment should be started as soon as abnormalities are found.

5. Premature ovarian failure

Premature ovarian failure is caused by abnormal ovarian function. It often manifests as delayed menstruation, infrequent menstruation, amenorrhea and infertility. Symptoms similar to menopause such as vaginal dryness, dyspareunia, hot flashes and insomnia may occur.

The old Chinese medicine doctor of Bocuitang reminds you: If menstruation is delayed only 1-2 times occasionally and there are no other accompanying symptoms, it does not fall into the category of menstrual disorders. When the interval between menstrual cycles is more than 35 days, it is called oligomenorrhea, and when menstruation stops for more than 3 menstrual cycles, it is called amenorrhea. The absence of ovulation after menopause can also lead to problems such as osteoporosis and endometrial hyperplasia, which must be taken seriously. You should go to the hospital immediately for a comprehensive examination.

6. Long-term exposure to harmful radiation, chemotherapy drugs, etc. may also cause premature ovarian failure and delayed menstruation. Pay attention to ovarian protection. For older women (over 40 years old), delayed menstruation and exclusion of other endometrial lesions are mostly caused by the gradual decline in ovarian function, and no special treatment is required clinically.

7. Others

Such as psychological factors such as mental tension, high pressure, irregular living habits, excessive dieting, environmental changes, and some diseases that affect the endocrine system. Can cause delayed menstruation.

The old Chinese doctor of Bocuitang pointed out that the treatment principle of delayed menstruation is to adjust the cycle and should focus on normal times. The treatment method should be based on the principle of "tonifying the deficiency and purging the excess". Deficiency syndrome can be treated by tonifying the kidney and nourishing blood, or warming the meridians and nourishing blood, while excess syndrome can be treated by activating blood circulation and removing stagnation, or regulating qi and removing stagnation. For those with a mixture of deficiency and excess, distinguish the primary and secondary and treat both simultaneously. Most patients with this disease are suffering from deficiency and cold, so it is not advisable to use excessive spicy, dry or blood-breaking products, so as to avoid damaging yin, body fluid or qi and blood.

If your period is delayed for more than ten days, you should first judge whether similar situations have occurred based on your own situation and determine whether it is an abnormal menstrual cycle; you should also consider whether your contraceptive measures are in place. If necessary, you should go to a regular hospital to see a doctor for diagnosis and treatment as soon as possible. Pathological delay of menstruation is a symptom of endocrine disorders. Early detection and early treatment are necessary. The best time for treatment must not be delayed to avoid serious lesions. If the delay of menstruation is caused by pregnancy, you must strengthen your self-protection and prepare to be a pregnant mother!