Irregular menstruation delayed for four months, very anxious, how to regulate

Patient's question:

Doctor, I often have itching and a bad odor for a long time, and it's in a curd-like form. I hope it can be stabilized and the odor can be lost. Please ask, if my menstrual period is delayed by four months, I am very anxious. How should I regulate it?

Doctor's answer:

Hello, after reviewing your description and the results of your hormone level test, it is evident that both luteinizing hormone (LH) and follicle-stimulating hormone (FSH) are very low, indicating poor ovarian function. You should undergo an ultrasound examination to assess the condition of your endometrium. If there is a certain amount of endometrium, you can take progesterone orally to induce menstruation. Since the hormone level test results show high estrogen levels, there is no need to take estrogen. After menstruation, focus on taking progesterone during the second half of the menstrual cycle to implement treatment. Continue this treatment for 3 to 6 months and then observe the condition of your menstruation.

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