Which methods can be used to diagnose menstrual disorders

Patient's question:

On December 27th, my period came, and it ended on January 2nd. On the 4th, I had sex with my boyfriend, and we used protection. Up until now, I haven't gotten my period. When my period was delayed by 10 days, I took a morning pregnancy test, and when it was delayed by 20 days, I took another one. Even when it was delayed by 30 days, I took a morning pregnancy test, and all of them were negative. Recently, I've been experiencing lower back pain, and my abdomen feels a bit larger than usual when it's not menstruating. Is it unlikely that I'm pregnant? Could it be irregular periods? My periods have always been late, sometimes with a few early ones as well.

Doctor's answer:

Hello, based on your condition, the test result is negative, so pregnancy can be ruled out. Delayed menstruation can be influenced by various factors, such as stress and anxiety, overexertion and anger, excessive pressure, endocrine disorders, medication effects, gynecological diseases, and so on.
Guidance and suggestions: Since your menstruation has been delayed for a month, it is recommended to undergo a magnetic resonance imaging (MRI) examination to check the thickness of the endometrium and the condition of the adnexa. If necessary, follow the doctor's advice to take medication for menstrual induction. Wishing you good health. Finally, it is hoped that female patients can receive effective treatment.

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