What are the reasons for delayed menstruation and exclude pregnancy?

Once menstruation is delayed, the first thing that comes to mind is pregnancy. If this possibility is ruled out, and it is caused by taking medicine, undergoing surgery, endocrine disorders, suffering from certain chronic diseases, excessive mental stress, etc., in this case, you must seek treatment according to your actual situation, especially pay attention to your diet, and avoid eating spicy and irritating foods.

1. Reasons for delayed menstruation

1. Medication

Taking progestin-containing drugs, such as progesterone, emergency contraceptive pills, etc., can prolong the luteal phase and cause delayed menstruation. Newer generation gastrokinetic drugs may also cause delayed menstruation.

2. Surgery

For example, if uterine surgery causes adhesions in the uterine cavity or cervix, menstrual blood cannot be produced or discharged, resulting in no menstruation.

3. Endocrine disorders

Obesity, excessive dieting, irregular living habits, premature ovarian failure, polycystic ovary syndrome, etc. can all cause endocrine disorders in women and lead to delayed menstruation.

4. Chronic diseases

Chronic hepatitis, tuberculosis, tumors, hypothyroidism, severe anemia, vitamin E deficiency, etc. often cause delayed menstruation.

5. Mental factors

Psychological factors such as mental tension, stress, environmental changes, etc. can cause delayed menstruation.

2. Clinical manifestations

1. Delayed menstruation

The menstrual cycle is delayed for more than 8 to 9 days, or even occurs every 40 to 50 days. If the delay does not exceed 7 days and there are no other symptoms, it is not considered as this disease.

2. Accompanying symptoms and signs

(1) Pregnancy: If pregnancy causes delayed menstruation, it may be accompanied by symptoms such as fatigue, drowsiness, nausea, and vomiting;

(2) Symptoms and signs of various primary diseases are often present. Polycystic ovary syndrome may manifest as obesity, hirsutism, acne, and infertility; hypothyroidism is often accompanied by apathy, memory loss, slow reaction, non-pitting edema, anorexia, abdominal distension, constipation, etc.