Is there any other reason for missed menstruation for a long time?

Patient's question:

Detailed medical condition and consultation purpose: My girlfriend's menstrual cycle has advanced by 10 days due to medication, followed by 40 days without a period. Originally, it was on the 24th of each month, but after advancing, it was on the 14th. It hasn't arrived by the 24th of this month yet. She went to the hospital for a check-up, but there was no pregnancy detected. Is it because the check-up time was incorrect, or is there another reason? Please help.
Current general condition: No menstruation
Auxiliary tests: Pregnancy test strips

Doctor's answer:

Hello, the reasons for menstrual disorders may be multifaceted, such as unhealthy diet and environmental factors. It is recommended that you pay attention to regulating your diet, eating less spicy food, and maintaining a regular schedule. Wishing you good health.
The occurrence of menstrual disorders not only affects a woman's physical health but can also lead to gynecological diseases. Therefore, it is best to undergo an ultrasound examination in the gynecology department of a hospital to identify the cause and receive targeted treatment. In daily life, pay attention to dietary regulation, consuming light and easily digestible foods, and avoid spicy, irritating, and cold foods.

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