What are the reasons for not having a menstrual period?

Patient's question:

The last time I had sexual intercourse was on September 14th, and the last time I had my period was on September 4th. I haven't had my period yet, and on October 20th, I had a thorough examination, but there were no results. The doctor said to wait for about ten days and then check the results again. What does this mean? If the endometrium is slightly thicker, shouldn't I have my period? Why haven't I had it yet? Could this be another ectopic pregnancy? I also tested negative for pregnancy.

Doctor's answer:

September 4th was the last menstrual period, and September 14th had a very high conception rate. If the endometrium is thick and no gestational sac is observed in the uterine cavity, ectopic pregnancy cannot be ruled out. If the menstrual period is delayed, it is first necessary to determine if pregnancy has occurred. If pregnancy is ruled out, the thickening of the endometrium may be the reason for the delay in the menstrual period, or it may be due to endometrial inflammation. You can check if there are any symptoms of breast tenderness or abdominal pain.

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