Delayed menstruation, but not pregnant, what is the situation?

Patient's question:

My period has been delayed for more than half a month. I have had similar situations before, where my period didn't come for one or two months and then came back. I took a pregnancy test but it was negative. For the past ten days, I've been experiencing lower back pain, which I've never had before. What could be the reason? Is it related to my job?

Doctor's answer:

There are many reasons, clinically they are usually divided into two major categories: one is functional, such as menstrual disorders caused by endocrine dysfunction; the other is organic, such as pelvic inflammatory disease, endometritis, and endometriosis, which can also cause menstrual disorders.
Treatment for menstrual disorders first requires an ultrasound and six sex hormone tests to identify the specific cause. Treatment should be targeted at the primary disease, followed by appropriately combining some Chinese herbal medicines for regulation. Pay attention to keeping warm and resting during the menstrual period.

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