Folic acid is vitamin B9, a water-soluble vitamin, and taking folic acid during the preconception period is to prevent fetal neural tube defects. However, some women find that their menstrual periods are delayed while taking folic acid. What should be done in this case? First, taking folic acid tablets does not affect the endocrine system, so it does not affect menstruation. Generally, it does not cause a delay in menstruation. If menstruation is delayed during the preconception period, the first step is to use a test strip or go to the hospital for a blood test to check HCG levels to see if you are pregnant. If you are pregnant, then the absence of menstruation is normal. Just continue to take folic acid on time, take care to protect the pregnancy, and make sure to attend regular prenatal check-ups at the hospital.
If pregnancy is ruled out after the check, then menstrual irregularity should be considered. Many factors can cause irregular menstrual cycles in women. If there is significant stress during the preconception period, it can also suppress ovulation, leading to a delay in menstruation. Additionally, if there is anxiety, nervousness, eagerness to conceive, emotional fluctuations, or deliberate changes in diet, sleep patterns, or lifestyle during the preconception period, these could all potentially affect the menstrual cycle. It is important to maintain a happy mood, eat a balanced diet, and avoid excessive psychological pressure during the preconception period, as this helps regulate the menstrual cycle. If menstruation is delayed, it is also important to replenish qi and blood regularly. You can take medications such as Wuji Baifeng Wan or Dang Gui Yang Xue Granules. It is also beneficial to consume foods like angelica root, red dates, astragalus, safflower, and donkey-hide gelatin. Avoid eating cold, raw, or stimulating foods. If menstruation has not occurred for more than half a month, it is advisable to go to a regular hospital's gynecology department for a hormone panel test and an ultrasound. If there is a hormonal imbalance, progesterone injections or oral progesterone capsules can be used for treatment.
