My aunt postponed having sex

Having sex and delayed menstruation may be related to pregnancy, endocrine disorders, mental factors, drug influence or disease. It is recommended to take an early pregnancy test first. If there are still abnormalities after ruling out pregnancy, you need to seek medical attention.

1. Pregnancy

When having sex without taking contraceptive measures, if menstruation is delayed, the possibility of pregnancy must first be considered. After the fertilized egg implants, the level of human chorionic gonadotropin increases, which inhibits the shedding of the endometrium. It can be confirmed by taking a pregnancy test paper or going to the hospital for a blood HCG test. If pregnancy is diagnosed, follow-up treatment options need to be selected based on individual circumstances.

2. Endocrine disorders

Diseases such as polycystic ovary syndrome and thyroid dysfunction can lead to insufficient luteal function and affect the menstrual cycle. Behaviors such as staying up late for a long time and dieting to lose weight may also disrupt the function of the hypothalamic-pituitary-ovarian axis. It manifests as delayed menstruation accompanied by symptoms such as acne and hair loss, and needs to be confirmed through six sex hormone tests.

3. Mental factors

Mood swings such as anxiety and depression can affect hypothalamic function through neurotransmitters, leading to abnormal secretion of gonadotropin-releasing hormone. It is common in situations such as exam pressure and work stress. Usually menstruation can resume naturally after adjusting the mentality. It is recommended to maintain a regular schedule and engage in moderate exercise.

4. Effects of drugs

Emergency contraceptive pills contain large doses of progesterone, which may cause withdrawal bleeding or menstrual irregularities after taking them. Some antibiotics and antidepressants can also interfere with hormone metabolism. If you have taken related drugs recently, your menstrual cycle may recover on its own in 1-2 cycles after stopping the drug.

5. Organic diseases

Diseases such as intrauterine adhesions and premature ovarian failure can cause the endometrium to fail to proliferate and shed normally. It may be accompanied by symptoms such as abdominal pain and abnormal vaginal bleeding, and a clear diagnosis needs to be made through gynecological ultrasound, hysteroscopy and other examinations. After diagnosis, drug treatment or surgical intervention is required according to the specific cause.

It is recommended to record the past 3 menstrual cycles and avoid excessive dieting and strenuous exercise. If menstruation is delayed for more than 2 months after pregnancy is ruled out, or is accompanied by severe abdominal pain, abnormal bleeding and other symptoms, you need to see a gynecologist in time. You can add an appropriate amount of iron-containing foods such as animal liver, spinach, etc. every day, avoid raw and cold foods, and keep the vulva clean and dry.