Menstrual leave postponed for 20 days

In life, the normal physiological cycle of a woman's body is 28-30 days. When a woman's menstruation is delayed for a few days or 7 days, it is a normal phenomenon. When a woman's menstruation is delayed for 20 days, it may be a manifestation of physical illness or a phenomenon of early pregnancy. You can do an ultrasound examination to make a judgment. Pay more attention to diet and a happy mood, and avoid too much emotional fluctuations.

What is the reason for the menstrual period to be delayed by 20 days?

If your period does not come after seven days, it is called delayed menstruation.

Many reasons can lead to delayed menstruation. For women of childbearing age, if you have had normal sexual life recently, you should first consider whether you are pregnant. If your menstruation is delayed for twenty days, you should first do an ultrasound test or an early pregnancy test to determine whether you are pregnant.

If pregnancy can be ruled out, necessary laboratory and auxiliary examination methods can be selected according to the specific condition. For example, ovarian function tests, pituitary function tests, and B-ultrasound examinations can be used to understand whether there are polycystic changes in the ovaries. Magnetic resonance imaging is used to detect pituitary microadenomas, and DICT examination is used to determine whether there is a pituitary adenoma.

At the same time, a detailed medical history, recent surgery, and medication history are also required. The diagnosis can be made in combination with laboratory test results. The main purpose is to clarify the cause and distinguish whether the delay in menstruation is organic or functional.

Only after the cause of the disease is determined can targeted treatment be carried out, and Chinese medicine conditioning and trial treatment methods can also be used. At the same time, you should pay attention to rest, avoid excessive fatigue, keep away from cold and dampness during menstruation, avoid excessive dieting, and keep a good mood.

For women of childbearing age with a normal menstrual cycle and a history of sexual activity, if their menstruation is delayed by 20 days, they should first consider the possibility of early pregnancy. You can do a urine pregnancy test or go directly to the hospital to check the pelvic ultrasound or blood HCG level to rule out early pregnancy. Then it may be a hypothalamic delay of menstruation, for example, it is caused by some external factors, such as mood swings, weight changes, strenuous exercise, or diseases, medication, diet and other factors. Such amenorrhea needs to be regulated with sex hormone drugs, and the female hormone level should be checked before regulation, and the medication should be used according to the results. If it is a regular irregular menstruation, estrogen-progesterone combination therapy can be used, such as taking oral estrogen for 21 days, and giving oral progesterone in the last week or so, and then menstruation should occur within 3-5 days after stopping the drug. For patients with regular menstrual disorders, this therapy should be continued for at least 3 to 6 months.