What could be the reasons for not getting my period?

Patient's question:

Hi, doctor. My period has been delayed for many days, and it still hasn't arrived. I would like to ask what might be the possible reasons? Is it necessary for me to go to the hospital for a check-up?? Additional question: I can confirm that it is the fourth and fifth points you mentioned. I have visited the hospital many times, but I haven't received a satisfactory answer. Could you give me some advice? I really need your advice. I am very grateful.

Doctor's answer:

The menstrual cycle of women is regulated by the hypothalamic-pituitary-gonadal axis. Various factors such as mental stress, emotional fluctuations, environmental changes, pregnancy, age, diseases, medications, and nutritional status can disrupt the function of this axis, leading to menstrual irregularities. A delay or advancement of about one week in the menstrual cycle is considered normal. If the menstrual delay exceeds 10 days, it is necessary to visit a gynecological department in a hospital for the corresponding examination to confirm the diagnosis.
Recommendation: Pay timely attention to your physical condition. If severe menstrual irregularities are detected, seek examination and diagnosis at a regular, professional hospital promptly.

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