Patient's question:
I am quite overweight, and my menstrual cycle has always been irregular. Sometimes it comes once a month, sometimes twice, and sometimes it doesn't come at all. I can only get it by taking progesterone. I have taken Chinese medicine for a while, but the effect has been average. Now I am preparing to get pregnant and want to consult how to take care of irregular menstruation.Doctor's answer:
People are relatively overweight, with irregular menstruation, and there is a need to consider polycystic ovary syndrome (PCOS) or obesity-induced issues. It is necessary to visit the hospital for a gynecological ultrasound and a detailed examination of sex hormones to determine the cause of the irregular menstruation. If it is caused by PCOS, serious medication treatment should be taken to regulate the menstrual cycle. Only after the menstruation is adjusted can pregnancy be planned, and ovulation induction may be needed to aid conception. If it is caused by obesity, active dietary restrictions should be implemented while planning pregnancy, and folic acid can be started three months before conception.