Patient's question:
I got my period on the first day of last month, and during that time, my boyfriend had sex with me without a condom. Up until now, my period hasn't arrived, and I think I might be pregnant, so I told my boyfriend about it. Then he broke up with me, and I'm very heartbroken. How can I check?What kind of help do I need: Why hasn't my period come yet?
Doctor's answer:
(1) Adolescent girls: The most common cause of delayed menstruation is anovulatory menstrual disorders due to the immature regulation function of the hypothalamic-pituitary-ovarian axis. Its characteristics include infrequent menstruation, sudden irregular heavy menstrual bleeding after a short period of amenorrhea, and prolonged menstrual periods. As age increases and the gonadal axis matures, symptoms gradually subside, but severe cases still require treatment.(2) Perimenopausal women: At this stage, women's ovaries decline, and their fertility gradually diminishes. Hormonal secretion becomes disordered, leading to menstrual cycle irregularities. Its characteristics include short-term menstrual delays, excessive endometrial hyperplasia, heavy menstrual bleeding, and continuous spotting. Often, it may require uterine scraping to stop bleeding or the use of sex hormone drugs.