What should I do if my period is always delayed?

Patient's question:

Symptom Description: Abdominal pain and lower back pain during menstruation
History of Treatment and Effect: No treatment has been received
Help Needed: Want to know how to treat it

Doctor's answer:

Generally speaking, patients with dysmenorrhea are advised to undergo medical examinations at a hospital. The primary focus is on checking the external genitalia, vagina, uterus, and ovaries for any abnormal lesions or deformities. Secondary dysmenorrhea patients should be examined for endometriosis. Additionally, based on the nature of the pain and the findings of the gynecological examination, further tests such as basal body temperature measurement, vaginal smear tests, estrogen and progesterone level determinations, and B-mode ultrasound may be conducted to identify the underlying cause of the dysmenorrhea. Treatment should be administered progressively according to the identified cause. During the menstrual period, adequate rest and sleep are essential. It is best to avoid emotional stress, worries, and anger, and maintain a positive mood. Avoid cold water and cold foods. Maintain cleanliness of the external genitalia during menstruation, and refrain from sexual intercourse; this can prevent inflammation of the reproductive organs and alleviate or eliminate dysmenorrhea.
There are multiple reasons that can cause menstrual disorders, such as certain systemic diseases, uterine conditions, uterine maldevelopment, ovarian disorders, certain gynecological infections, gynecological tumors, cysts, cervical lesions, and dysfunctional uterine bleeding. Clinical manifestations such as prolonged menstruation and irregular bleeding can also result from discomfort or improper use of intrauterine devices (IUDs) or incorrect gynecological medications. It is recommended that you undergo relevant medical examinations at a hospital.

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