Patient's question:
Detailed medical condition and consultation purpose: This time it has been delayed by a week, and my period hasn't come yet. I'm so anxious. There's one thing that can basically be confirmed—it's not pregnancy, because the contraceptive measures were very good. I would like to ask the doctor, are there any other reasons that could cause the period to not come? Urgent!!!!!!Duration and persistence of the current illness: 7 days
Current general condition: Normal
Medical history: None
Previous diagnoses and treatment history and outcomes: None
Ancillary tests: None
Other: None
Doctor's answer:
Hello:There are several reasons that can cause amenorrhea. The common ones are as follows:
First, diseases. Consumptive diseases, such as severe tuberculosis, severe anemia, malnutrition, etc.; specific endocrine disorders, such as "obesity-related protein-energy malnutrition," etc.; and the influence of some endocrine glands in the body, such as dysfunction of the adrenal glands, thyroid, pancreas, etc. Due to these factors, menstruation may not occur regularly. For amenorrhea caused by these conditions, as long as the disease is cured, menstruation will naturally return.
Second, lower genital tract obstruction. For example, congenital or post-traumatic adhesions or obstructions in the cervix, vagina, hymen, labia, etc. Although menstruation occurs, the menstrual blood cannot flow out. This condition is called hidden or pseudo-amenorrhea. Lower genital tract obstruction can be completely cured with medical treatment.
Third, incomplete or underdeveloped reproductive organs. Some people are born without ovaries, or their ovaries are underdeveloped or damaged, unable to produce estrogen and progesterone. As a result, the endometrium cannot undergo cyclical changes, leading to no shedding of the endometrium and thus no menstrual flow. Others may be born without a uterus, or their endometrium is underdeveloped or damaged. Even if the ovaries function normally and estrogen and progesterone are secreted normally, menstruation will not occur.
Additionally, tubal endometritis, as well as abnormal function of the pituitary gland and hypothalamus, can also cause amenorrhea. There are many reasons for hypothalamic dysfunction, such as mental stress, sadness