Irregular menstruation with a small amount, what should be done about endocrine disorders?

Patient's question:

Doctor, I'm already 22 years old. Recently, my menstruation has been extremely light, and my endocrine system is out of balance. What should I do? I have many pimples on my face, and I know it's due to endocrine imbalance. It's really painful, so I'm asking the doctor, what should I do?

Doctor's answer:

Currently 22 years old, with very minimal menstrual flow and acne, this situation warrants high suspicion of endocrine disorders such as polycystic ovary syndrome (PCOS) or hyperandrogenemia, which are the most common endocrine disorders among young women. It is recommended to have blood drawn on the third day of your period and undergo a thorough checkup for six endocrine hormone tests. Additionally, an ultrasound should be performed. If PCOS is confirmed, it is crucial to follow a standardized hormone treatment for six cycles. Avoid intermittent treatment—otherwise, it may affect future fertility.

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