Patient's question:
One year or soDoctor's answer:
If a married woman of childbearing age who usually has very regular and normal menstruation suddenly experiences menstrual cessation and stops having periods, the first consideration should be whether she is pregnant. In the early stages of pregnancy, clinical manifestations, in addition to amenorrhea, often include nausea and vomiting, loss of appetite, food preferences, fatigue, lethargy, a tendency to sleep, and a preference for sour and spicy foods, among other early pregnancy symptoms. Physical examination may reveal an enlarged areola with increased pigmentation. Gynecological examination may show a bluish cervix and an enlarged, soft uterus, among other pregnancy indicators. Laboratory tests show a positive pregnancy test. Ultrasound can visualize the gestational sac. After a certain period of pregnancy, fetal heartbeats can also be detected. In women with amenorrhea, the main clinical manifestation is the absence of menstruation, often preceded by menstrual irregularities or accompanied by other symptoms. Amenorrhea typically develops from delayed menstruation or reduced menstrual flow, followed by cessation, often accompanied by lower abdominal pain, and sudden amenorrhea is rare. Gynecological examination shows no signs of pregnancy. Laboratory tests for pregnancy are negative.