How serious is it to miss your period for 4 months?

Patient's question:

Okay, here is the translation following your instructions:
4 months no menstrual period previously had 2 or 3 times accompanied by continuous weight gain

Doctor's answer:

Hello, a normal menstrual cycle is once a month. Occasionally, it may be early or delayed by once, or the time of delay and advancement does not exceed one week, which generally falls within the normal range.
Advice: If pregnancy is ruled out, this condition may be caused by endocrine dysfunction leading to amenorrhea. It is recommended to undergo an ultrasound examination and a six-item sex hormone test to determine the cause of the amenorrhea. Only after identifying the cause can you use medication correctly to treat it and promote the return of normal menstruation.

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