Patient's question:
I have had a ten-day delay in my menstrual period (it arrived on the 11th of last month), but the test strips have consistently shown negative. I'm not sure what to do. If I have an ultrasound now, will it be able to determine the issue? Is it pregnancy? Ectopic pregnancy? Or irregular menstruation? Or maybe a gynecological infection?Thank you!
First follow-up question: I feel a bloated sensation in my lower abdomen, and my breasts are sore and feel hard to the touch. I used to have very regular periods and never had a delay this long. I'm a bit scared! When should I go for a check-up to get the most accurate results?
Thank you! Second follow-up question.
Doctor's answer:
Hello, it's recommended to wait and see. Psychological factors such as stress, high pressure, and environmental changes, as well as some endocrine-related diseases, can all cause delayed menstruation. If menstruation is delayed only occasionally (1-2 times) and without other accompanying symptoms, it does not fall under the category of menstrual disorders. When the menstrual cycle interval extends to more than 35 days, it is referred to as oligomenorrhea. If menstruation stops for more than three menstrual cycles, it is termed amenorrhea. Since amenorrhea can lead to ovulation failure, it may also result in issues such as osteoporosis and endometrial hyperplasia, which must be taken seriously. It is essential to seek immediate medical attention for a comprehensive examination.