What are the main reasons for irregular menstruation?

Patient's question:

These past few months, my menstrual cycle hasn't been very regular. Sometimes it's heavy, and other times it's very light. After a thorough examination, I found out that I have menstrual irregularity. However, I think my lifestyle is quite healthy. I'd like to ask what causes menstrual irregularity?

Doctor's answer:

The menstrual cycle has become irregular again. The specific cause needs to be thoroughly examined to confirm it. First, on the second or third day of the period, blood tests should be conducted on an empty stomach to check for six hormones to see if there is a recurrence of hormonal imbalance. If the hormones are imbalanced, hormone medications should be taken to restore the menstrual cycle. Additionally, it is necessary to carefully observe the condition of vaginal discharge. If there is a significant amount of discharge, a routine vaginal examination and medication should be performed.

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