Patient's question:
Doctor: Hello! I am unmarried and have never had sexual activity. I am 29 years old. Due to frequent work-related stress, I sometimes feel very restless. In recent years, I have frequently experienced delayed menstruation. For example, this time (the latest delay), my last menstrual period was on August 13, but as of today (November 25), I still haven't had my period. However, I haven't felt any discomfort or anything. Also, each time I have my period, it lasts nearly a week, but the amount is very small. Could you please tell me what could be the reasons for this situation and what serious effects it might have on my health?Doctor's answer:
Hello, the normal menstrual cycle is generally 28 days, and occasionally, if it is advanced or delayed by no more than 9 days, it can still be considered normal. The normal duration of menstruation is 3-7 days, usually 4-5 days. The amount of menstrual flow is generally about 50-80 milliliters. Due to differences in individual constitution, age, climate, region, and living conditions, the amount of menstrual flow may vary slightly, but this is within the normal physiological range. Normal menstrual blood is slightly darker in color, starting light and gradually deepening before turning pale red and clean. Under normal circumstances, the texture of menstrual blood is neither too thin nor too thick, does not clot easily, has no obvious blood clots, and has no special odor.Mood instability and other phenomena may occur but do not affect work or daily life. These symptoms usually disappear naturally after the onset or end of menstruation, which is a common physiological phenomenon and generally does not require any treatment. Some young women may experience irregular menstruation in the first one or two years after menarche, with the menstrual cycle being delayed or advanced, or even stopping for several months. This is due to insufficient kidney qi. These women, as long as they show no obvious systemic symptoms, will naturally recover to normal as their bodies mature.
Additionally, women around menopause often experience menstrual irregularities, with unstable cycles, duration, flow, and texture. As long as these irregularities do not pose a threat to health or daily life, they are generally not considered pathological.