Menstruation hasn't arrived, am I pregnant?

Patient's question:

Detailed medical condition and consultation purpose: Last menstrual period was on 10.23, but it hasn't arrived yet. On 11.30, a pregnancy test was taken, showing negative. Today, a pregnancy check at work did not detect pregnancy, although the staff mentioned that pregnancy can only be seen after 40 days. There is no feeling of breast tenderness. Could you please explain what is going on?
Medical history: Menstrual period lasted for 18 days in July (started on the second day). Hormone test results: T56.4 ng/mL, E251.8 pg/mL, PRL14.7 ng/mL, PROG3.4 ng/mL, LH11.2 mIU/mL.

Doctor's answer:

Hello; your situation should be to actively treat your ovarian cyst first, and then regulate your menstrual cycle. The only treatment for ovarian tumors is surgical removal. For cysts with a diameter of less than 5-6 cm, observation for 3-6 months is possible. If the cyst continues to grow, or if the tumor diameter is less than 5 cm but is a solid tumor, surgical removal should be performed. For children and young, childless patients, the approach often involves the removal of the affected ovary or the affected adnexa. If the bilateral ovarian tumors are benign, the doctor may consider performing an ovarian cystectomy to preserve as much ovarian tissue as possible, thereby maintaining menstrual and fertility functions. Laparoscopic surgery has smaller abdominal incisions and a faster recovery.

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