What are the reasons for irregular menstruation?

Patient's question:

I've been married for 3 years and haven't been able to get pregnant. I often get recommendations for hospitals, and some doctors say my menstrual cycle is irregular and it's difficult for me to conceive. I've also become increasingly overweight and have tried some Chinese medicine treatments, but they haven't helped much either. Could you please tell me what might be the reason for my irregular menstrual cycle?

Doctor's answer:

Irregular menstrual cycles may also be associated with usual stress or poor ovarian function. It is recommended to check for Qi and blood deficiency conditions. If obesity is also present, polycystic ovary syndrome (PCOS) cannot be ruled out. It is advised to have blood tests to assess hormone levels and consider medication accordingly.
At the same time, it is recommended to follow medical advice for menstrual regulation before considering pregnancy, as prolonged irregularity can significantly impact fertility. Avoid overexertion and spicy or irritating foods.

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