Lower abdomen, a bit like the premenstrual symptoms, low mood

Patient's question:

21 years old, missed her period for 70 days, experiencing mild lower abdominal pain, similar to the premenstrual symptoms, feeling low in mood, and had previously missed her period for 50 days. Living with her boyfriend for a year, they have engaged in mutual masturbation and frequent friction with their genitalia recently, but without vaginal penetration. The hymen is still intact, and she remains a virgin.
Madison SONOACE X6 ultrasound report:
1. Uterus: The uterus is in a retroverted position, slightly enlarged in shape, with an anteroposterior diameter of about 3.7 cm. The anterior wall is slightly protruding forward, with no clear demarcation, and the muscle layer shows uniform echoes.
2. Adnexa: No definite abnormalities were observed in the bilateral adnexal regions.
3. Pelvis: No anechoic dark areas were detected.
4. Suggestions: The uterus is slightly enlarged (please combine with clinical findings and seek further diagnosis at a higher-level hospital).
Visited the outpatient department of a higher-level hospital for consultation, and the doctor casually said it was nothing to worry about. However, I still feel uneasy because I don’t trust the doctor at the higher-level hospital—he seemed quite dismissive. Therefore, I am seeking medical help here.

Doctor's answer:

Irregular menstruation can be caused by factors such as poor rest, stress, gynecological inflammation, or endocrine disorders. It is recommended to visit a hospital for check-ups including the six sex hormone tests and ultrasound. Avoid taking medication blindly and seek targeted treatment after identifying the underlying cause.

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