When menstruation is due, it does not come

When menstruation is due, it does not come

Many women often encounter this problem in their daily lives: their menstruation has not come on the day it should, and is delayed for several days. This can be very distressing, because they hope that their menstruation will not come, but they feel very panicked when it does not come. This is a case of delayed menstruation, which may be related to many reasons and needs to be identified before it can be treated.

Delayed menstruation can be divided into the following four situations:

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 effect of the drug

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 gastric motility 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

Intrauterine surgery can cause cervical adhesions, which can lead to menstrual blood stasis and thus delay menstruation.

4. Others

Psychological factors such as mental tension, stress, environmental changes, and some diseases that affect the 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 amenorrhea 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.

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