What could be the reason for a delay of four or five days in menstruation? I'm not pregnant either.

Patient's question:

Patient Gender: Female
Patient Age: 34
Menstruation is delayed by four or five days. What's going on? I'm not pregnant either.

Doctor's answer:

Premenstrual, withdrawing one week is normal. Fatigue, medication, and endocrine changes can all cause irregular menstruation. If menstruation does not arrive after more than 10 days, and pregnancy is ruled out, it should be considered menstrual disorder and an endocrine examination is needed to identify the cause.