What's wrong if my period hasn't arrived?

Patient's question:

My menstrual cycle is usually very regular. Today, it should have arrived, but it hasn't. My basal body temperature is 37 degrees, which is higher than usual. Since last Saturday, I've been experiencing lower abdominal pain, and I initially thought it was an early period. However, after a whole week, my period still hasn't arrived, and the abdominal pain persists, sometimes mild and sometimes a bit more intense. I'd like to ask, what is wrong with me? Am I pregnant? If so, are these signs of an ectopic pregnancy or a threatened miscarriage?

Doctor's answer:

Hello, a normal menstrual cycle is 28 to 36 days. Anything within this range is generally not a significant issue. It is recommended that you do not worry too much. If you have had sexual activity and your period is delayed by more than 7 days, you should first take a pregnancy test. Once it is confirmed that you are not pregnant, you should also check for gynecological inflammation. Additionally, factors such as fatigue, poor rest, stress and anxiety, environmental changes, gynecological inflammation, and endocrine disorders can all lead to a delayed period. If you are not pregnant and your period has not arrived, it is advised to visit a gynecological department in the hospital for examination. It is important to identify the underlying cause before treatment.

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