How to properly handle irregular menstruation in a girlfriend

Patient's question:

Has already started. Menstruation hasn't come for 40 days. Later, I took progesterone, and then my period came. Now, it's been another 35 days, and it still hasn't come. What could be the reason? Is it related to taking progesterone? Did I develop dependence? How should I take care of myself? Will drinking motherwort help? If I go to the hospital, what tests should I have done? Is there inflammation? I sincerely seek detailed clarification······ Thank you for the help you care about: My girlfriend had an abortion a year ago, and her menstruation has been relatively stable. Starting last month, her menstruation hasn't come for 40 days. Later, she took progesterone, and then her period came. Now, it's been another 35 days, and it still hasn't come. What could be the reason? Is it related to taking progesterone? Did she develop dependence? How should she take care of herself? Will drinking motherwort help? If she goes to the hospital, what tests should she have done?

Doctor's answer:

Generally, symptoms like the ones you mentioned can also indicate irregular menstruation. There are several causes of irregular menstruation, and in clinical diagnosis, they are typically divided into two major categories: one is functional, such as irregular menstruation caused by endocrine dysfunction; the other is organic, such as pelvic inflammatory disease, endometritis, and endometriosis, among other inflammatory conditions, which can also lead to irregular menstruation. Do not take medication blindly, as menstruation is related to your own endocrine system, dietary habits, lifestyle, and emotional state. It is recommended to undergo an ultrasound, colposcopy, routine vaginal discharge examination, and six hormone tests to identify the specific cause and adopt targeted treatment measures.

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