What are the reasons for checking in the hospital three times before experiencing menstrual disorders?

Patient's question:

Irregular menstruation, I have had three detailed medical examinations at the hospital before. I had two ultrasound scans and one urine test. The doctor prescribed progesterone capsules. It has come twice, but after each time, there is a break of two to three months. Why is this?

Doctor's answer:

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Here is the English translation:
It is preliminarily suspected that your condition may involve menstrual disorders. Generally, menstrual disorders are caused by endocrine imbalance. It is recommended that you have a blood test to check the six hormones and undergo a thorough examination. After diagnosis, follow the treatment advice of your attending physician. Pay attention to maintaining a regular dietary habit in daily life. For gynecological patients, in addition to taking medication, it is also important to focus on self-care training, such as maintaining hygiene during treatment and keeping the private area clean.

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