What kind of tests should you do if your menstruation is delayed? Only by understanding the cause can you know how to check for it.

　　Sexual life of childbearing age female , when menstruation is delayed, I always suspect that I am pregnant for the first time. So how many days after menstruation is delayed can I detect pregnancy? If you are pregnant seven days after intercourse, you can usually check it out. But if the test shows that you are not pregnant, what kind of test should you do?

　　Reasons for delayed menstruation and examination items

　　1. Pregnancy check

　　Under the premise of having sexual intercourse, when women have normal delayed menstruation, accompanied by increased frequency of urination, nausea and vomiting, changes in appetite, etc., women can consider testing whether they are pregnant. The testing method can be through early pregnancy test paper or B-ultrasound, serum and other examination methods.

　　Generally speaking, you can test yourself 7-10 days after having sex. You can use early pregnancy test paper or pregnancy test stick to detect morning urine to test pregnancy. The longer the time after sex, the more accurate it will be. In short, after having sex, pregnancy can be detected as early as one week and as late as about 3 weeks.

　　In the early stages of pregnancy, women will experience a series of early pregnancy reactions such as dizziness, nausea, drowsiness, and breast enlargement. They usually become more obvious 10 to 14 days after pregnancy, and will disappear on their own after three months. Therefore, if a woman has the above symptoms, she can use early pregnancy test strips and pregnancy test sticks to test pregnancy.

　　Frequent delayed menstruation is a signal that there is something wrong with the body, and women should pay attention to it. If the test shows pregnancy, it is normal for menstruation to be delayed.

　　two, Gynecology disease examine

　　1. Cervical adhesions: There is menstrual blood, but the menstrual blood cannot be discharged normally due to adhesions from the cervix and accumulates in the Uterus Within a period of time, the patient will have periodic stomach ache , B-ultrasound examination shows that there are dark areas in the uterine cavity, and it is often necessary to go to Hospital Cervical dilation was performed. If this situation is not improved in time, it can lead to endometriosis.

　　2.premature ovarian failure：It is caused by abnormal ovarian function. Often manifested as delayed menstruation, thin hair, amenorrhea and infertility. Menopausal-like symptoms such as vaginal dryness, dyspareunia, hot flashes and insomnia may occur.

　　3.polycystic ovary Syndrome: In addition to oligomenorrhea, it also has three characteristics: anovulation, obesity, and hirsutism. This disease can not only cause Irregular menstruation , infertility, and may increase the risk of hypertension, diabetes, and endometrial cancer.

　　4. Abnormal thyroid function: Thyroid problems seem to be more common in women. Whether it is hyperthyroidism or hypothyroidism, it will affect menstruation. In hyperthyroidism, the number of menstrual periods decreases, the amount of menstrual flow decreases, and the time between two menstrual periods becomes longer. When the thyroid function is low, menstrual bleeding will increase and the bleeding time will be long. However, in patients with long-term illness, menstruation will become less frequent or even absent.

　　It is recommended that women, especially those with menstrual abnormalities, go for regular gynecological examinations so that the disease can be detected early and early treatment will be beneficial to them.

　　3. Endocrine abnormality examination

　　Endocrine abnormalities can easily lead to delayed menstruation. Common polycystic ovary syndrome, premature ovarian failure leads to delayed menstruation. What to do if menstruation is delayed due to endocrine disorders? If excessive obesity, hirsutism, female infertility, acne and other symptoms occur, women should check their endocrine function. Specific inspection items are as follows:

　　1. Luteinizing hormone (LH): If LH is also high, the diagnosis of ovarian failure can be confirmed. The clinical significance and simple judgment of six examinations of female endocrine hormones.

　　2. Follicle-stimulating hormone (FSH): Measuring the concentration of follicle-stimulating hormone in the blood on the third day of menstruation can be used to predict fertility. If FSH is higher than 15mIU/mL, it means poor fertility; if it is higher than 40mIU/mL, it clinically means ovarian failure.

　　3. Prolactin (PRL): Women work synergistically with estrogen, progesterone, glucocorticoids, etc. during the second trimester of pregnancy. It has a certain effect on the synthesis of ovarian hormones, lutein production and dissolution. It plays an important role in fetal development and growth, especially in the formation of fetal lungs. It also plays an important role in the body's stress response.

　　4. Testosterone (T): T is the most important androgen in the human body. High levels of testosterone in women are commonly seen in hirsutism, virilization, polycystic ovary syndrome, ovarian tumors, adrenal tumors, and adrenal hyperplasia.

　　5. Progesterone (P): The measurement of progesterone in blood is clinically used to monitor ovulation and normal function of the corpus luteum in non-pregnant women, monitor progesterone therapy and evaluate early pregnancy, etc. It is of particular importance in judging the functional status of the corpus luteum.

　　If women’s menstruation is delayed, it is best to do the following checks:

　　1. Physical examination: This examination is mainly used to find out whether the patient suffers from serious systemic diseases.

　　2. Pelvic examination: This examination is mainly used to determine whether there are malformations, tumors or inflammation in the reproductive organs.

　　3. B-ultrasound examination: It mainly reflects the condition of the uterus, ovaries and pelvic cavity, thereby eliminating the possibility of irregular menstruation caused by many gynecological diseases.

　　4. Six items of sex hormones: That is, follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), progesterone (P), testosterone (T), prolactin (PRL), determine sex hormone levels, understand endocrine function and diagnose diseases related to endocrine disorders.

　　5. Biopsy: The nature of the lesion can be determined. This method is accurate and reliable, and can provide timely diagnostic advice.

　　Delayed menstruation may also be related to these

　　1. Excessive weight loss

　　Insufficient nutritional intake of women can also lead to delayed menstruation. Most women achieve weight loss through a small diet, which often leads to delayed menstruation due to insufficient nutritional intake. Excessive dieting and weight loss drugs can cause delayed menstruation. If the delay is short-lived, the menstrual cycle will naturally return to normal, but if the delay is long-term, medication is often required to normalize the menstrual cycle.

　　Women should lose weight reasonably. Do not overdiet or take hormone-rich weight loss pills. The best way to lose weight is to exercise.

　　2. Mental factors

　　Mental factors are also a major factor leading to delayed menstruation. If there are abnormal emotions such as excessive mental stress, sadness, anger, etc., it will often lead to delayed menstruation. Under the influence of mental factors, breast swelling and pain often occur. Generally, there is no need to take treatment. You can relax your mood on weekdays, but if your menstruation has been delayed, you can take Chinese medicine to regulate your body.

　　3. Contraceptive drugs

　　Women who regularly take birth control pills or medications to treat thyroid function can also cause delayed menstruation. These drugs all have side effects.

　　When ruling out pregnancy or disease factors, you should think about whether you have had any of the above conditions recently to avoid excessive worry and affecting your mood. (Reference website: Mom.com)

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