What could be the reason for a 9-day delay in menstruation?

Patient's question:

I got my last period on October 18th, but now it's November 27th, and it's been 9 days. Why hasn't it come yet? During this time, I had sexual intercourse with my husband, but I didn't have any symptoms. For years, my periods have always come on time, with the most delay being just 2 days. When I got my period on October 18th, I ate something cold, and I never avoid spicy food. That period on October 18th lasted for more than 9 days. What could be the reason for this?

Doctor's answer:

The main reasons to consider for delayed menstruation are two aspects. If there has been sexual activity, the first is pregnancy, which can be confirmed by taking a pregnancy test one week after the expected period. Secondly, delayed menstruation should also be considered due to fatigue, poor rest, stress, anxiety, environmental changes, gynecological inflammation, or endocrine disorders, all of which can lead to delayed menstruation. It is recommended to visit a hospital for tests of six sex hormones and ultrasound. Do not take medication blindly. Once the cause is identified, targeted treatment can be administered. Wish you good health.

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