Patient's question:
I am a college student, female, only 20 years old. I am always worried about irregular menstruation affecting future fertility, and I feel shy about going to the hospital. Could you please explain: What causes a small amount of menstrual flow and a long duration?Doctor's answer:
Hello: The menstrual cycle of women is regulated by the hypothalamic-pituitary-ovarian-gonadal axis. Factors such as mental stress, emotional disturbances, changes in the environment, early pregnancy, age, diseases, medications, and nutritional status can all lead to dysfunction of this gonadal axis, resulting in menstrual abnormalities. In such cases, a vaginal ultrasound examination, gynecological examination, and a six-hormone electrochemical luminescence autoimmune analysis test should be conducted three to five days after the onset of menstruation. It is advisable to avoid cold drinks and stimulating foods and to seek medical attention early for gynecological diseases, as this is an easily occurring gynecological condition.