When will menstruation return after an ovarian cyst removal surgery?

Patient's question:

In May 2018, I underwent bilateral ovarian cyst removal surgery. Since I also had endometriosis, I received six shots of leuprolide microspheres postoperatively. On October 11, I completed the last shot. After that, I took emergency contraception in November, January, and February of 2019. Since the last shot of leuprolide, it has been four and a half months, and I haven't had my period yet. I'd like to ask when I might expect to get my period?

Doctor's answer:

Based on the situation you described, it seems you may need to pay close attention and observe carefully. Since you have taken emergency contraception pills and have not experienced withdrawal bleeding again, and considering your age of 46, it is easy to enter menopause. For severe ovarian cyst patients, it is recommended to seek medical attention as soon as possible and follow the doctor's advice for early treatment. Avoid using medication blindly to prevent worsening the condition.

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