Menstruation is delayed, urination is found to be slightly red, what should I do?

Patient's question:

Menstruation delayed for more than twenty days. Yesterday after urinating, I noticed a slight redness, but it's gone today. What's going on?

Doctor's answer:

Hello, there could be several reasons for a reduced menstrual flow: common causes include endocrine issues, such as abnormal hormone secretion or anovulation; alternatively, it may be related to the condition of the endometrium itself, such as endometrial tuberculosis causing endometrial lesions or induced abortion.
Suggestions: Dilation and curettage may lead to thinning of the endometrium. Since I cannot see your specific condition, it is still recommended that you visit a regular hospital for examination as soon as possible to achieve early detection and early treatment, preventing the condition from worsening. Learn to care for yourself and wish you good health!

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