Morning Sir /madam, please can climate change can...

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Regarding your question,

Causes of late menses

It is common problem due to many factors and causes. Evaluation and treatment of like condition is by the following

• Pregnancy.
• Stress and anxiety
• Increased prolactin level
• Thyroid problems
• Uterine causes like Adhesions.
• Ovarian causes like ovarian failure
• Hormonal imbalances
• There are no sufficient studies that climate changes cause absent or late menses.

Treatment of absent menses

I see the following

• You can wait for one to two weeks from your expected date as temporary absence is expected.
• If your menses still absent, you can ask for pregnancy test to exclude pregnancy.
• If pregnancy test negative, seek for medical help to be examined by your gynecologist.
• Do uterine and ovarian US to exclude medical causes.
• You doctor may prescribe hormonal pills to regulate your menses.

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Kind Regards