More than 40 days without menstruation how to return a responsibility

If the previous menstrual cycle of women, 40 days without menstruation, and sexual life, first of all to understand whether there is the possibility of pregnancy. Morning urine with early pregnancy test paper, if positive, prompt pregnancy, but intrauterine pregnancy or ectopic pregnancy do not know, need to do further ultrasound examination. If the test paper is negative, then pregnancy can be ruled out. You need to go to the hospital for gynecological related examinations, gynecological color Doppler ultrasound, to understand the thickness of the endometrium, and whether there are organic uterine lesions. If the endometrial thickness is more than seven millimeters, progesterone treatment can be given. If you are usually nervous, work pressure, irregular work and rest, environmental changes, excessive dieting, etc., it may cause menstrual delay, even amenorrhea, endocrine disorders, or suggest a regular hospital, symptomatic treatment under the guidance of a doctor.