What should I do if my period is delayed?

Patient's question:

Doctor: Hello! I am unmarried and have never had sexual experience. I am 29 years old. In the past, due to work-related stress and other factors, I sometimes felt restless. Therefore, in recent years, I have frequently experienced delayed menstruation. This time (the latest delay), my last menstrual period was on August 13th, but as of today (November 29th), I still haven't had my period. I haven't felt any discomfort. It's just that sometimes I feel very tired. I am currently pursuing a master's degree, and the living conditions are not very good—several people share one room, so I don't sleep well at night. Moreover, in the past, the duration of my menstrual period was nearly a week.

Doctor's answer:

Hello, the female menstrual cycle is generally 28 to 30 days. It is still within the normal range if it is advanced or delayed by about 7 days. The length of the cycle varies from person to person. However, if menstruation has not arrived after more than 7 days, it is considered delayed. Delayed menstruation primarily needs to be considered in two aspects: first, pregnancy, and second, menstrual disorders. Psychological factors such as stress, environmental changes, and some endocrine disorders can also cause delayed menstruation. Long-term use of birth control pills can lead to endocrine disorders, which may also result in delayed menstruation. Metoclopramide, a new generation of gastrointestinal motility drugs, may also cause it. Consuming tonics like longan or arjuna before the menstrual period may slightly delay it, leading to bloating and pain, as well as reduced menstrual flow. Therefore, women should avoid consuming these foods before their period.

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