How to determine if it's menstrual irregularity or pregnancy?

Patient's question:

My period is half a month late. Previously, it had never been delayed by more than seven days. Recently, I've also been constantly tired, feeling exhausted even when walking. I'm very worried that I might be pregnant because I'm not married and don't want to have a child so early. Hello, is this considered irregular menstruation, or could I be pregnant?

Doctor's answer:

Unmarried women of childbearing age who have sexual activity and experience delayed menstruation should first rule out pregnancy. It is recommended that you have a urine pregnancy test done at a hospital. If two horizontal lines appear, it indicates pregnancy. Around the 6th week of pregnancy, undergo a gynecological ultrasound examination at the hospital to confirm the gestational age, rule out ectopic pregnancy, and determine further management options. If pregnancy is ruled out, you should have a six-item female hormone test performed to rule out polycystic ovary syndrome.

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