Delayed Menstruation: When to Seek Medical Help

Amenorrhea

Hello, Doctor Hsu! I would like to ask you about my situation.
I haven't had my period since November 27, and I took a pregnancy test on January 4, which was also negative.
I have taken medication to induce menstruation for three days, but my period still hasn't come.
In this case, should I see a traditional Chinese medicine doctor for treatment, or should I consider getting a menstrual induction injection?

ki, 30~39 year old female. Ask Date: 2016/01/14

Dr. Xu Junrui reply Obstetrics and Gynecology

Generally, after taking menstrual induction medication, menstruation will occur within 2 to 5 days.
May I ask if your period has started now? If it hasn't, you can definitely go to the clinic for an injection!

Reply Date: 2016/01/14

More Info

Delayed menstruation can be a concerning issue for many women, and it is important to understand the potential causes and when to seek medical help. In your case, since you have not had your period since November 27 and have already taken a pregnancy test on January 4 that was negative, it is understandable that you are feeling anxious about your situation.
There are several reasons why menstruation may be delayed, including stress, hormonal imbalances, significant weight changes, excessive exercise, or underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Given that you have already taken medication to induce menstruation without success, it is advisable to consult a healthcare professional for further evaluation.

In terms of seeking medical help, it is generally recommended to see a gynecologist or a primary care physician who can assess your situation more thoroughly. They may perform a physical examination, take a detailed medical history, and possibly order blood tests to check hormone levels or other relevant factors. This will help determine the underlying cause of your delayed menstruation and guide appropriate treatment options.

Regarding your question about seeing a traditional Chinese medicine (TCM) practitioner, it is certainly an option. TCM can offer herbal remedies and acupuncture that may help regulate menstrual cycles. However, it is crucial to ensure that any treatment you pursue is safe and appropriate for your specific situation. If you choose to go this route, consider discussing it with your healthcare provider to ensure that there are no contraindications with any medications you may be taking.

As for the option of receiving a "big menstrual induction injection," this is typically a more aggressive approach and should be considered only after a thorough evaluation by a healthcare professional. Inducing menstruation through injections or other hormonal treatments can have side effects and may not address the underlying issue causing the delay.

In summary, while it is understandable to seek alternative treatments such as TCM, it is essential to first consult with a healthcare professional to rule out any serious underlying conditions. They can provide you with a comprehensive evaluation and recommend the best course of action tailored to your needs. Remember, your health is paramount, and seeking professional guidance is the best way to ensure that you receive the appropriate care.

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