Patient's question:
Detailed medical condition and consultation purpose:It's been past that period, but my menstruation hasn't come yet:
I want to ask if this indicates pregnancy, and what the symptoms of pregnancy are?
Duration and course of the current illness: None
Current general condition: None
Medical history: 1 month
Doctor's answer:
Hello: Generally, if menstruation exceeds the normal cycle by more than 7 days, it should be actively checked at the hospital for early pregnancy. Early pregnancy symptoms include:1. Menstruation stops In healthy married women with a normal menstrual cycle, if menstruation does not occur for 1–2 weeks, pregnancy should be the first consideration. Pregnancy is more likely only if the menstrual period has stopped for more than 40 days. If menstruation still does not occur in the second cycle, pregnancy is even more likely.
Although the cessation of menstruation is an important early symptom of pregnancy, pregnancy can sometimes occur without menstruation or with infrequent periods. In some cases, early pregnancy may be mistaken for menstruation due to slight vaginal bleeding. Women who marry before menarche, breastfeeding women, or women in menopause may experience amenorrhea before actual conception. Conversely, during the first 12 weeks of pregnancy (equivalent to the expected date of menstruation), 1–2 episodes of slight vaginal bleeding may also be misinterpreted as not amenorrhea. Speear et al. even reported that in 225 non-miscarried pregnancies, 22% experienced vaginal bleeding within 196 days of pregnancy. 80% of these cases occurred within the first 40 days of pregnancy and were considered implantation bleeding. This condition is more common in multiparous women, occurring three times more frequently than in primiparous women. However, vaginal bleeding during pregnancy is often abnormal.
Amenorrhea can also be caused by psychological or environmental factors, with the most common being sadness, fear (including fear of or eagerness for pregnancy), and environmental changes.
2. Nausea or vomiting Pregnant women often experience gastrointestinal dysfunction, leading to nausea or vomiting. The so-called "morning sickness" during pregnancy usually occurs in the morning and disappears within a few hours. Although sometimes