Why is the period delayed for more than 20 days?

If some women have problems with their bodies, then patients need to pay attention to taking appropriate methods for treatment in a timely manner. This will ensure the safety of female patients and avoid danger to female patients due to menstrual problems, especially when menstruation is delayed for a long time. So why is menstruation delayed for more than 20 days? Let me introduce this issue to you below.

1. Pregnancy

You can use the "Early Pregnancy Test Strip" to test your urine 7 days after your period is delayed. If the result is positive, you are very likely pregnant. If the result is negative, then vice versa. But if you are pregnant, there will be other symptoms such as nausea, breast tenderness, etc. Of course, the last resort is to go to the hospital for an ultrasound examination.

2. The amplitude of the drug effect

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. Caused by surgery

For example, intrauterine surgery may cause cervical adhesions, which may lead to menstrual blood stasis and thus delay menstruation.

4. Others

Such as psychological factors such as mental tension, stress, environmental changes, and some diseases that affect endocrine system. Can cause delayed menstruation.

Expert tip: 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.

Delayed menstruation

A delay of more than one week in the menstrual cycle is called late menstruation. A person whose menstrual period is normal but whose menstrual flow is reduced is called oligomenorrhea. Late menstruation and scanty menstruation often occur together. This disease can be divided into deficiency and excess. If you see symptoms such as sore waist and cold limbs, tinnitus and dizziness, abdominal pain with a feeling of emptiness and sagging, and likes to be pressed and warmed, it is generally a deficiency and cold disease caused by kidney and blood deficiency. If you see lower abdominal distension and pain that refuses to be pressed, dark menstrual blood with clots, pain and distension under the clots reduced, and depression, then these are signs of blood stasis and qi stagnation. The self-treatment of this disease adopts two methods: tonifying and clearing.

The above is my opinion on this issue. If the above problems occur, patients do not need to worry too much and should take appropriate examination methods in time to ensure their health and avoid danger to the female body due to the above-mentioned delayed menstruation. Finally, I wish the patients a speedy recovery.