What Should a Girl Do if She Hasnt Had a Menstrual Cycle for Two Months?

For healthy women, menstruation is generally quite regular, with a menstrual cycle typically lasting around one month. The duration of menstruation ranges from three to seven days. If menstruation is delayed or there are abnormalities in menstrual color or volume, it is likely that menstrual irregularity has occurred. If a woman has not menstruated for two months, it is advisable to consult a doctor to determine whether pregnancy or other factors are causing the delay.

1. Pregnancy: After a menstrual delay of 10 days, a urine pregnancy test can be performed at the hospital. If the result is positive, there is a high possibility of pregnancy. Pregnancy can also be accompanied by other symptoms such as chills, dizziness, fatigue, nausea, and vomiting.

2. Medication: Taking drugs containing progesterone, such as progesterone or emergency contraceptives, can prolong the luteal phase and cause menstrual delay. New-generation gastric motility drugs may also cause menstrual delay.

3. Surgical Procedures: Surgical procedures such as uterine cavity surgery can cause uterine or cervical adhesion, preventing menstrual blood from being expelled, thereby causing menstrual delay.

4. Hormonal Imbalance: Obesity, excessive dieting, irregular lifestyle, premature ovarian failure, polycystic ovary syndrome, and other factors can cause hormonal imbalance in women, leading to menstrual delay.

5. Chronic Diseases: Chronic diseases such as chronic hepatitis, tuberculosis, cancer, hypothyroidism, severe anemia, and vitamin E deficiency can often cause menstrual delay.

6. Psychological Factors: Psychological factors such as stress, pressure, and environmental changes can also lead to menstrual delay.

1. Menstrual Delay: Menstrual cycles may be delayed by 8 to 9 days or more, with some women experiencing menstrual cycles as long as 40 to 50 days. However, if the delay is less than 7 days and there are no other symptoms, it is not considered a pathological condition.

2. Associated Symptoms and Signs: If menstrual delay is caused by pregnancy, it may be accompanied by symptoms such as fatigue, drowsiness, nausea, and vomiting. Additionally, various underlying diseases may manifest with specific symptoms and signs, such as obesity, hirsutism, acne, and infertility in women with polycystic ovary syndrome, or apathy, memory loss, sluggishness, non-pitting edema, anorexia, abdominal distension, and constipation in women with hypothyroidism.

A menstrual delay of about one week is considered normal. If there is sexual activity and contraception measures such as condoms are taken without any ruptures or leaks, the likelihood of pregnancy is low. However, self-testing with pregnancy test strips can have a low accuracy rate. It is recommended to closely observe the situation and, if menstrual delay persists for around 10 days, undergo a blood hCG test at the hospital to confirm pregnancy. After ruling out pregnancy, necessary laboratory and auxiliary examination methods should be selected based on the specific condition, including ovarian function tests, pituitary function tests, B-ultrasound to assess polycystic changes in the ovaries, magnetic resonance imaging to detect pituitary microadenomas, and skull base CT scans to detect pituitary adenomas.