My period hasn't come for 5 days.

If menstruation has not come after 5 days, this is a rather troublesome situation, because it is a phenomenon of delayed menstruation, and there are many factors. If it has not been more than a week, it is a minor menstrual delay, or if it is due to pregnancy, diet, or medication problems, there are various possibilities.

Pathological etiology

The timing of menstruation after abortion will vary depending on the number of days of pregnancy and individual physical condition. Generally speaking, the second menstrual cycle will follow after an early abortion. In many cases, due to the changes in the body's hormones caused by the abortion, ovulation may be delayed, and menstruation may be postponed accordingly. Therefore, there may be no menstruation for one or several months after the abortion. If your period is delayed for more than 7 to 10 days, it is best to go to the hospital for a detailed examination. Women with irregular menstruation will definitely worry. Reasons for delayed menstruation

Pregnant

For women of childbearing age who have had sexual life, when their menstruation is delayed, they often doubt whether it is menstruation abnormality or they are pregnant. This problem is a very common phenomenon in daily life. How to rule out pregnancy and how to determine whether it is a menstrual disease are the first issues that need to be clarified. First, determine whether you are pregnant. If your menstrual cycle has always been normal, with no signs of delay, and there are some signs of pregnancy, you should test your urine with an early pregnancy test strip on the fifth day after your delayed period (or the fifth day calculated from the start of your period). If the test result is positive, you should undergo a gynecological pelvic examination. If the cervix changes to purple-blue, the uterus is full or enlarged, and there may be accompanying symptoms such as breast tenderness and nausea, you can be diagnosed with pregnancy. Of course, B-ultrasound can also quickly determine whether you are pregnant.

Side effects of medications

For example, endocrine disorders after long-term use of contraceptives can also cause delayed menstruation. Doctors also found, based on patient feedback, that a new generation of gastric motility drug, metoclopramide, also known as domperidone, may also cause this condition. Since metoclopramide does not easily cross the blood-brain barrier, it is believed that it has no inhibitory effect on central dopamine receptors. Central dopamine receptors are inhibited, resulting in a decrease in the amount of hypothalamic release factors entering the anterior pituitary. As a result, the anterior pituitary secretes less gonadotropin and corticotropin, leading to amenorrhea and delayed ovulation.

Surgery

1. Menstruation after surgical or medical abortion is determined by the degree of recovery of the endometrial wall, which may cause delayed menstruation to a large extent.

2. Uterine surgery can cause cervical adhesions and lead to menstrual blood stasis, thus delaying menstruation.