If the menstrual period is delayed for 20 days with coffee-colored discharge, it is considered to be the onset of menstruation, ectopic pregnancy, preterm miscarriage, etc. If it is the onset of menstruation, you can generally delay the menstrual period once in a while for observation to see whether the amount and time of menstruation is normal; if it is ectopic pregnancy, you can take medication or surgery depending on the situation; if it is a preterm miscarriage, you can carry out birth control treatments.
1. The onset of menstruation: If menstruation is delayed for 20 days, there may be irregular menstruation. If there is coffee-colored discharge, it may be the onset of menstruation, which is manifested as coffee-colored discharge due to the small amount of bleeding in the beginning, which is mostly normal and does not require any special treatment, and you should relax.
2. Ectopic pregnancy: after the sperm and the egg combine to form a fertilized egg, if the egg is deposited in a place other than the uterine cavity, it is called ectopic pregnancy, and the main symptoms are menopause, abdominal pain and vaginal bleeding, if it is in line with the indications of the drug, you can use methotrexate, if not, you need to be treated surgically.
3. Pre-eclampsia: 20 days delayed menstruation may also be pregnant, if the pregnancy is due to embryonic factors, maternal factors such as pre-eclampsia will also have delayed menstruation bleeding symptoms, if there is a pregnancy plan should be actively preservation of pregnancy treatment, if the failure of the preservation of pregnancy needs to be carried out to clear the uterus surgery.
If you have delayed menstruation for 20 days and have coffee-colored discharge, there may be other reasons, it is recommended to consult a doctor in time to clarify the cause of standardized treatment.