What is the situation when menstruation hasn't arrived but the test paper also shows not pregnant?

Patient's question:

Menstruation has not come for more than a week, but the test paper shows not pregnant!

Doctor's answer:

Hello, it is caused by menstrual irregularities. The reasons for menstrual irregularities include:
1. Endocrine disorders caused by factors such as mental stress, pressure, medication, dieting, and irregular lifestyles can lead to menstrual irregularities, also known as menstrual disorders.
2. Organic lesions, such as local inflammation of the reproductive organs. If you do not have symptoms like abdominal pain or abnormal leukorrhea, it is unlikely to be an organic lesion, and medication alone may be sufficient for regulation.
It is recommended that you undergo an ultrasound and a six-hormone test to observe the condition of the endometrium and your endocrine status. Based on the results of this examination, you can appropriately regulate your menstrual cycle.

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