What are the conditions for long-term menstrual irregularity?

Patient's question:

I have had irregular periods for many years. My entire menstrual cycle is all over the place. The days of arrival are unpredictable, and the days of departure are not fixed either. The amount varies, sometimes more, sometimes less. It has been many years, and I have gotten used to it. What should I do about long-term menstrual irregularity?

Doctor's answer:

If you have long-term menstrual irregularities, you should go to the gynecology department of the hospital as soon as possible to diagnose the specific cause of the irregularities. Generally, it is necessary to have a careful ultrasound examination to rule out organic diseases of the uterine appendages. Additionally, it is required to check the six hormones on the third day of your period to assess the ovarian endocrine function. Then, based on the examination results, you should take combined estrogen-progestogen preparations orally to implement symptomatic treatment. In necessary cases, dietary control may also be required.

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