Patient's question:
According to what should be, I should not have reached menopause. But this month, my period didn't come, and after a thorough check-up at the hospital, they said I can no longer go through menopause. Because I didn't have my period, many pimples have appeared on my face. Am I menopausal now? Not ovulating, amenorrhea—what should I do?Doctor's answer:
If you haven't had your period just this time, it doesn't count as amenorrhea. A thorough examination cannot confirm how the ovaries have gone through menopause. If you have already confirmed through a thorough examination that you are not pregnant, an ultrasound can measure the thickness of the endometrium at that moment. If the endometrial thickness is around 10 millimeters, you can consider taking progesterone for a few days. After stopping the medication for 3 to 7 days, your period should come. On the third day of your period, you can have a fasting blood test to check hormone levels and understand your current ovarian function. If it is indeed menopause, it indicates premature ovarian failure, and you will need estrogen-progesterone replacement therapy.