How serious is it to miss your period for 4 months?

Patient's question:

Okay, here is the translation following your instructions:
4 months haven't had a period, before this had 2 or 3 periods accompanied by continuous weight gain

Doctor's answer:

Hello, a normal menstrual cycle occurs once a month. Occasionally, it may be slightly early or delayed by one cycle, or the delay and advancement should not exceed one week, which is generally considered normal.
Advice: If pregnancy is ruled out, this condition may be caused by endocrine dysfunction leading to amenorrhea. It is recommended to undergo an ultrasound examination and a six-item sex hormone test to determine the cause of amenorrhea. Only after identifying the cause can you use medication correctly to treat it and promote the return of normal menstruation.

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