What are the reasons for no menstruation without cohabitation?

Patient's question:

My period is usually normal, but this month, since I went out for a while, I can say I was particularly tired. After coming home, I also ate a lot of cold food. However, I am certain that I only had sexual intercourse last month and definitely not this month, but my period still hasn't come. It has already been seven days. I am very anxious, but I don't know what the reason could be. Could it be pregnancy?
Medical history and effectiveness of treatment: I have not visited a hospital.
Help desired: I hope to find the cause and a solution.

Doctor's answer:

Hello, based on the analysis of the information you provided, if there is no sexual activity but the menstrual period is delayed, it is necessary to consider the possibility of diseases and psychological factors. It is advisable to seek medical attention as soon as possible for examination to clarify the cause and receive treatment.
Regarding the above situation, it is recommended to see a gynecologist as soon as possible for examination, such as a pelvic ultrasound and a check of sex hormone levels, to identify the underlying cause before proceeding with standardized treatment. Commonly used medications for regulating menstruation include progesterone.
The factors affecting menstruation are whether the pituitary gland, ovaries, and other endocrine systems are functioning normally, and it is unrelated to the digestive system. It is recommended that you have a pelvic ultrasound at the hospital to check the thickness of the endometrium. If it exceeds 8mm, you can take progesterone capsules to induce menstruation. After menstruation begins, further hormone tests can be conducted to assess the endocrine status.

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