What should I do if my menstrual period is irregular, with low flow and an abnormal cycle?

Patient's question:

I have had irregular periods since my first menstrual cycle. I didn't start menstruating until I was 17. Before that, I took medication for an artificial cycle for three months (Dienogest tablets). My periods were normal during those three months, but they returned to being irregular after I stopped taking the medication. The amount was very small, and after seeing a traditional Chinese medicine doctor, they prescribed Compound Xuanju capsules and Xiaoyao pills. My periods were normal during the month I took the medication, but they returned to being irregular after I stopped. My last period was on May 27, and it was normal in amount. This time, on July 9, the amount was very small—only noticeable when using toilet paper—and I didn't take any medication during that period. For these past few months, my periods have come every 40 days, and the amount is not significant. What could be the reason for this, and is the problem serious? My last period was on December 28, and it has been irregular ever since. What should I do?

Doctor's answer:

From the check report you sent, the ultrasound shows no abnormal conditions. However, the detailed endocrine examination reveals that your follicle-stimulating hormone (FSH) has slightly decreased, and your luteal function is not optimal, which is also the reason for your menstrual irregularity. It is necessary for the doctor to adjust your condition based on these test results. The recurrence of gynecological diseases severely harms women's health, and patients should pay attention to avoiding sexual activity during treatment and maintaining good personal hygiene. Finally, we hope that female patients can receive professional treatment.

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