Patient's question:
On November 21st last year, I had a hysterectomy. After the surgery, my first period arrived on January 9th this year after taking progesterone for six days. It's been over a month since then, and I still haven't had my period. Before the surgery, my periods were usually delayed, and the delay was typically within a week. What kind of help do you need: I'm very worried about how it might affect future fertility. How should I take care of myself?Doctor's answer:
The causes of menstrual disorders can be divided into two major categories:Neuroendocrine dysfunction leading to endocrine imbalance: This primarily involves instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders.
Organic inflammation or drug-induced causes: This includes local inflammation, tumors, and developmental abnormalities of the reproductive organs; intracranial disorders; other endocrine dysfunctions such as thyroid, adrenal cortex dysfunction, diabetes, Sheehan's disease, etc.; liver diseases; blood disorders, etc. The use of psychiatric medications, endocrine preparations, or the use of intrauterine devices (IUDs) for contraception may also lead to menstrual disorders.