What to do if your period is delayed

Delayed menstruation is a common type of menstrual disorder. Menstruation is still within the normal range if it is advanced or delayed by about 7 days. The length of the cycle varies from person to person, but if menstruation does not come after more than 7 days, it is delayed menstruation. Many women have delayed menstruation due to various factors such as work pressure and life pressure. At this time, you should go to the hospital for examination in time to see what is wrong with your body. So, what examination should be done for delayed menstruation?

1. Basic inspection

1. Ovarian function test

① Endometrial biopsy; ② Vaginal exfoliated cell examination; ③ Cervical mucus crystal examination; ④ Serum E (2 below) and P measurement; ⑤ Basal body temperature measurement.

2. Pituitary function test

① Directly measure the blood LH, FSH and PRL levels: If FSH>40IU/L indicates ovarian failure; if PRL>25ug/L indicates hyperprolactinemia, if LH and FSH are at normal or low values, further pituitary stimulation test is required. ② Pituitary stimulation test: If the LH released 15-45 minutes after LHRH injection increases by more than 3 times compared with before injection, it means that the pituitary gland responds well to exogenous LHRH, and the cause of amenorrhea is the hypothalamus. If the LH value does not increase after injection or the increase is unclear, it means that the lesion is in the pituitary gland.

3. CT scan of the sella turcica to determine whether there is a pituitary adenoma.

4. Chromosome examination excludes abnormalities of sexual development.

5. Ultrasound examination

If your menstruation is often delayed, it is best to have an ultrasound examination to find out in time whether there is any tumor or cancer in the body that affects the stability and secretion of menstruation. An ultrasound examination is also helpful in preventing the occurrence of tumor and cancer.

2. Further inspection

1. Laparoscopic examination is performed to understand the status of gonads and to check for changes such as dysplasia, polycystic ovaries, and premature ovarian failure.

2. Magnetic resonance imaging excludes pituitary fibroma.

The above are the relevant examinations for delayed menstruation. If female friends find amenorrhea, they should go to the hospital in time to find out the cause and treat the symptoms. If you don't treat it as soon as possible, the longer the amenorrhea lasts, the more severe the uterus and ovaries will shrink, and the worse the treatment effect will be.