My period has been delayed for 10 days and I haven’t taken a pregnancy test yet, but I’m not pregnant.

Menstruation is delayed for 10 days and the pregnancy test shows no pregnancy, which may be related to endocrine disorders, mental stress, polycystic ovary syndrome and other factors. It is recommended to combine gynecological examination and hormone level testing to further investigate the cause.

Endocrine disorders are common causes of delayed menstruation in women of childbearing age. Staying up late for a long time, excessive dieting or obesity may interfere with the function of the hypothalamus-pituitary-ovary axis, manifesting as insufficiency of the corpus luteum or delayed follicle development. At this time, ultrasound examination may show that the endometrium is thin, and the cycle can be adjusted through regular work and rest, a balanced diet, and medications such as progesterone capsules. Excessive mental stress will inhibit the secretion of gonadotropin-releasing hormone, leading to temporary amenorrhea, often accompanied by symptoms such as anxiety and insomnia. Psychological counseling combined with oryzanol tablets to regulate autonomic nerve function can help improve this. Patients with polycystic ovary syndrome may experience anovulatory menstruation for several months due to hyperandrogenism and insulin resistance, accompanied by acne and hirsutism. Metformin tablets are needed to reduce insulin resistance, and ethinyl estradiol and cyproterone tablets are used to adjust hormone levels.

Hypothyroidism may also cause delayed menstruation. Patients may experience cold sensitivity, fatigue, etc. The level of thyroid stimulating hormone needs to be tested. After diagnosis, levothyroxine sodium tablets may be used for replacement treatment. Decreased ovarian function in perimenopausal women can lead to cycle disorders, accompanied by hot flashes and night sweats. Short-term use of estradiol valerate tablets can relieve symptoms. In rare cases, hyperprolactinemia caused by pituitary microadenoma can inhibit ovulation and manifest as amenorrhea and galactorrhea. Bromocriptine tablets are a commonly used treatment drug.

It is recommended to record basal body temperature and bleeding patterns for at least 3 menstrual cycles to avoid excessive exercise or sudden weight loss. If there is no menstrual cramps for 2 months, pelvic ultrasound, six sex hormones and thyroid function tests need to be completed. In daily life, you can increase the intake of phytoestrogens such as flaxseed and soy milk in an appropriate amount, but it is not advisable to take hormone drugs by yourself to adjust the cycle.