Did the menstrual period test show no pregnancy? What's going on?

Patient's question:

A 24-year-old woman gradually started feeling unwell, but she didn't know why. She seemed to lack energy. Please ask: Has she taken a menstrual test? Why isn't she pregnant?

Doctor's answer:

When using a pregnancy test strip, it is necessary to use the first morning urine. Additionally, test strips may sometimes produce errors, so it is recommended to have a blood hCG test to rule out pregnancy, which is more accurate. After ruling out pregnancy, the menstrual cycle can be affected by various different factors, apart from illness. These include endocrine disorders, climatic and environmental conditions, cold exposure during menstruation, consuming extremely cold or spicy foods, irregular eating habits, poor nutrition, stress, emotional anger, overtime work, and poor sleep, among others, all of which may interfere with menstruation.

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