What is the reason for not having a period for a year?

Patient's question:

I haven't had my period for a year. The last time I had it was in June last year. I had sex with my boyfriend, and he always pulls out. I'm worried about whether I might be pregnant.

Doctor's answer:

Premature or delayed menstruation by one week is considered a normal phenomenon. Of course, if there has been sexual activity, you can check blood and urine hCG, ultrasound, and other tests one week after the menstrual period is delayed to see if you are pregnant. Menstrual delay should also be considered due to factors such as poor rest, stress, 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, avoid taking medication blindly, and undergo targeted treatment after identifying the cause.

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