How to deal with weight loss and amenorrhea

Patient's question:

I recently experienced amenorrhea due to weight loss, so I want to ask what should be done in this situation?

Doctor's answer:

If the menstrual flow is relatively light, it is due to low estrogen levels causing the endometrium to be thin, which results in a small amount of menstrual flow. Taking progesterone is not very effective in this case; estrogen should be taken to promote the growth of the endometrium. It is recommended to regulate this through artificial cycles. You can take Premarin and progesterone, and continuously regulate for 3 to 6 menstrual cycles to see if the situation stabilizes.

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