Patient's question:
Menstruation has been irregular since the first period. I didn't start menstruating until I was 17. Before that, I took medication for an artificial cycle for three months (Diol Progesterone Acetate Tablets). The three months of medication were normal, but after stopping, it became irregular again. The amount was very small, and after seeing a traditional Chinese medicine doctor, they prescribed Compound Xuanju Capsules and Xiaoyao Pills. During the month I took the medicine, it was quite normal, but after stopping, menstruation didn't come again. My last period was on May 27th, with a normal amount, but this time on July 9th, it was very small—only noticeable when wiping with paper. I haven't taken any medication during this period. For these past few months, I've been having my period every 40 days, and the amount is not very much. Could you please check whether it might be due to congenital uterine atrophy or some other reason? My last period was on December 28th, and it hasn't come since then.Doctor's answer:
Irregular menstruation, previously with poor response to medication, has undergone thorough examination, and blood thyroid function and gonadal hormone levels are all within the normal range. The symptoms are considered to be caused by endocrine dysfunction leading to irregular menstruation. It is recommended that you re-examine blood gonadal hormones (6 items) on days 3-5 of your menstrual cycle to investigate the cause of irregular menstruation. Maintain a light diet and avoid exposure to cold during the period. Pay attention to hygiene during menstruation to prevent the recurrence of gynecological diseases. Gynecological diseases are a common condition that can easily occur. During medication, women need to pay attention to their own care, especially in terms of nursing.