What is the reason for irregular menstruation that has not been regular?

Patient's question:

My menstrual cycle has never been regular since it started, and my mom is the same way. I went to the hospital for a thorough check-up, including an ultrasound and a vaginal discharge test, and everything was fine. They also did a hormone test. The doctor said it might be because I inherited it from my mom through generational transmission. It's not that my period doesn't come at all, but that it's always irregular. What could be the reason for this?

Doctor's answer:

This is due to endocrine imbalance, resulting in irregular menstruation. You can regulate it using estrogen and progesterone hormones. Alternate their use for three months to see if it can return to normal. The careful examination results show that the endometrium is slightly thin, and the problem is not severe; it should be possible to fully recover. Maintain a calm mood and avoid dieting. Keep the external genitalia dry and clean. Gynecological diseases are a condition that is prone to occur. During medication, women need to pay attention to their own care, especially in terms of hygiene. It is recommended that patients avoid sexual activity during treatment and pay close attention to cleanliness.

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