Patient's question:
Female, 18 years old, menstrual period hasn't come for a month, often works overtime, drinks a lot of carbonated drinks and ice water. Is it necessary to go to the hospital for a thorough examination?Doctor's answer:
The menstrual cycle of a woman is regulated by the hypothalamic-pituitary-ovarian axis, an endocrine axis. The endometrium undergoes periodic shedding, leading to cyclical vaginal bleeding. If any part of this process is abnormal, it can affect a woman's menstruation, causing irregular menstrual periods or abnormal menstrual flow. The hypothalamic-pituitary-ovarian axis is most susceptible to influence, with the hypothalamus being the most vulnerable. When emotions are tense, stress is excessive, rest is poor, or even weather changes, it can all affect hypothalamic function, leading to temporary menstrual irregularities. If menstruation is delayed occasionally once, it's not a big deal. I see you wrote your age as 14, and you haven't fully grown yet, so you can wait a few days.