What should a 20-year-old college student do if their period is delayed?

Patient's question:

Patient: Female, 20 years old. Her menstrual period is delayed by more than 20 days. She originally planned to check and regulate during the May Day holiday, but she came today. Should she still regulate during this period? Can she take medication now?

Doctor's answer:

The causes of delayed menstruation, apart from pregnancy, can be influenced by factors such as hormonal levels in the body, nutritional factors, environmental factors, emotional fluctuations, excessive stress, diseases, medications, and other elements.
Currently, your condition is considered to be menstrual irregularity. The main causes of menstrual irregularity can be divided into two major categories:
① Neuroendocrine dysfunction (relatively uncommon in clinical settings)
② Organic lesions or medication-induced factors: including local inflammation or tumors in the reproductive organs, endocrine disorders, etc. (relatively common).
Recommendation: Avoid self-medication. First, undergo a check-up to diagnose the specific cause. Once the cause is clearly identified, provide corresponding effective treatment options based on the specific diagnosis. This approach will still be effective in treating the condition.

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