A girl in her late 20s who doesn’t get her period for several months? In fact it is not uncommon, if you don’t get your period for 6 months or 3 original cycle lengths, it is amenorrhea. There is a qualifying condition here, which means that these mushrooms were menstruating before, not never, which is also known as secondary amenorrhea. To rule out pregnancy first, we need to rule out pregnancy first. It is very easy to do a urine test for early pregnancy, and if you have doubts, you can do a blood test for hcg. It is possible that the urine test does not detect pregnancy, but there is almost no blood test for hcg that does not detect pregnancy. However, hcg only proves whether you are pregnant or not, but it is difficult to determine whether the pregnancy is intrauterine or extrauterine, or the quality of the embryo in a single test. Therefore, it is often necessary to repeat the blood test every 2-3 days. Of course it is also more intuitive to combine it with an ultrasound to determine this. If it is not pregnancy, then there are more problems, which may include but not limited to the following: 1. Polycystic ovary syndrome This problem has become common and frequent, and is now included in the category of chronic diseases by our gynecologists. In other words, it is not curable and requires lifelong management. As for how polycystic ovary syndrome occurs, it is still very clear. Anyway, it is related to metabolic problems, elevated androgens and insulin resistance in women, causing immature follicle development, showing polycystic ovaries under ultrasound, which clinically manifests as non-ovulation or sporadic ovulation, and then no menstruation. At least an ultrasound and a blood test are needed. If your period has been absent for almost 3 months or more, you can have a blood test for sex hormones directly. If it has not been absent for such a long time, you can have a blood test on the 3rd-5th day of your period after medication. In addition to the routine sex hormone 6 tests, sometimes more tests may be needed to help rule out other diseases. Although it is said that there is no cure, it is possible as long as the clinical treatment goals are met. If you have irregular menstruation, get it over; if you don’t ovulate, promote ovulation. Of course, the actual clinical operation is much more complicated and needs to be treated under the guidance of a doctor. 2, early haircut ovarian insufficiency Ovarian function decline in the early stage, often manifested as menstrual scarcity, that is, not coming for several months, or reduced menstrual volume. Most of these can be determined by combining sex hormone and AMH tests, and ovarian failure in the 20s requires hormone supplementation to maintain the body at a younger, healthier level. Hormone supplementation is able to make menstruation come regularly, but it cannot be stopped. If you want to get pregnant and have a baby, you also need to go to an IVF center for a full evaluation. 3. Uterine adhesions If you have had a curettage or have had endometritis, pelvic tuberculosis, etc., especially a history of multiple abortions, it is easy to cause endometrial damage, uterine adhesions and reduced menstrual flow. In severe cases, it may also cause absence of menstruation. In this case, most of the sex hormones are normal, and in severe cases, adhesions can be detected by ultrasound. In mild cases, it is not easy to determine directly, and the doctor needs to backtrack to identify them. In addition to hysteroscopy, adhesions can be separated, or an IUD can be performed, or estrogen can be taken to help improve the environment of the uterine cavity. For those who do not have fertility requirements, it does not matter if there are adhesions in the uterus, as long as there is no menstrual pain, let them go. If you have fertility requirements, it is a little tricky to treat, especially for patients with severe adhesions. 4, mental factors The ovaries are organs of estrogen and progesterone production, she can regulate the subordinate uterine menstrual flow, but themselves are subject to the regulation of the superior leader – the brain. A person undergoing a shock, extreme sadness, stress, depression or a big change in the environment may make the brain send some signals to stop the functional activities of certain organs in the body that do not affect life, which is actually a kind of protection for the body, but may give wrong instructions to the ovaries to stop the production of estrogen and progesterone. This condition requires the doctor to make a judgment by patiently asking about the condition and combining it with the results of hormone tests. The first choice of treatment is to help relieve the mental stress and use some estrogen and progestin appropriately. 5. Excessive exercise People who exercise a lot on a regular basis may also not get their periods. It may be related to reduced fat content, psychological and stress factors. You can reduce the amount of exercise and increase the weight appropriately, with estrogen and progestin medication to regulate. 6, excessive weight loss, anorexia Too fat will affect menstruation, as will too thin. Too little fat content provides insufficient raw material for sex hormone synthesis. This raw material is cholesterol, which people didn’t expect, right? Losing too much weight can also affect endocrine dysfunction in the brain, which eventually affects the function of the ovaries and causes missed periods. Therefore, the weight is also to be moderate, not fat and not thin best. 7, hyperprolactinemia This disease has a characteristic, more nipple lactation phenomenon. To rule out pituitary problems, so in addition to sex hormone testing, sometimes an MRI of the brain is required. In addition to lactation, it also affects the maturation of follicles, resulting in non-ovulation and non-menstruation. Treatment requires bromocriptine. 8. Thyroid disorders The endocrine system in the body is all in one family and the hormones of the thyroid gland can have an indirect effect on ovarian function by affecting the brain. Hyperthyroidism or hypothyroidism may affect menstrual flow, so now the testing of sex hormones will be accompanied by the testing of thyroid hormones. If you have problems in this area, you need the help of an endocrinologist to treat them together. 9. Incomplete ideas for diagnosis (The blocked word is: bad uterus) There are many other possible factors, so I will not list them all. We remember a few points: 1, once in a while a period does not come, quickly recover, do not worry, most do not have problems; 2, if often several months without a period, need to be properly investigated; 3, the period does not come, the first thing to rule out pregnancy, it is very simple, their own first pee early pregnancy test paper; 4, the rest to the doctor, the doctor will help you find the cause and give treatment plan; 5, if you let you take the contraceptive pill, do not Make a fuss, menstruation does not come commonly used, the contraceptive effect is only incidental.