What is the reason for not having a period if not pregnant?

Patient's question:

Hello, I had my period on the 22nd of last month, but it hasn't arrived yet this month, and I've also taken a pregnancy test which was negative. I don't know what's going on. I also plan to have children, and recently I've been experiencing lower back pain, but I don't know what that's about either.

Doctor's answer:

Hello, generally, a menstrual period that is 7 days early or 7 days late is considered normal. It is recommended to wait and see first, and then consider doing another early pregnancy test.
Guidance:
If it is ruled out, it is necessary to consider whether it is caused by an inflammatory infection. It is recommended to visit a gynecology department for an ultrasound examination. Pay attention to sexual hygiene in daily life to avoid upward infection.

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