Should delayed menstruation be treated?

Patient's question:

Female; 20 years old; no sexual experience; foreign female; Before masturbation, I felt like my period was about to come, but after masturbation, that feeling disappeared, and my period is already seven days late. It hasn't arrived yet. Previously, it was always normal—either a day or two early, at most four days early, never delayed. Only this time, what is going on with me? How should I treat it?

Doctor's answer:

Hello. It is recommended to visit the hospital promptly for a blood HCG test to rule out the possibility of pregnancy. If it is not pregnancy, there are several common reasons for delayed menstruation, including the following:
1. Hormonal imbalances leading to delayed menstruation. The most common clinical condition is polycystic ovary syndrome (PCOS). If you have symptoms such as obesity, hirsutism, acne, or infertility, it is advisable to check your hormones. Once abnormalities are detected, prompt treatment should be initiated.
2. Emotional factors leading to delayed menstruation. Sudden stress, excessive tension, grief, sadness, anger, or breakup can often cause delayed menstruation.
3. Medication-induced delayed menstruation.
4. Chronic diseases leading to delayed menstruation. Some chronic wasting diseases often cause delayed menstruation due to nutritional deficiencies. It is recommended to undergo a thorough examination at the hospital to identify the cause and receive targeted treatment.

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