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