What are the reasons for amenorrhea after abortion?

Patient's question:

Hello, Director Zhang! I experienced a natural miscarriage in early November 2013. Before that, my menstrual cycle was irregular, and it still is. Progesterone levels are normal, and my menstrual flow is light. I had a thorough check-up at the hospital, and the doctor gave me a score of 35, saying I haven't gone through menopause. Polycystic ovary syndrome, Director. Could you help me understand what better treatment I should receive for my condition? I hope to have a bowel movement soon. The baby is coming very soon.

Doctor's answer:

Your symptoms are related to polycystic ovary syndrome. Polycystic ovary is an endocrine disorder. It occurs due to dysfunction of the hypothalamic-pituitary-ovarian axis, which disrupts the interdependent and regulatory mechanisms between them. As a result, the ovaries cannot undergo menopause in the long term, leading to infertility, amenorrhea, menstrual irregularities, obesity, etc. Treatment primarily involves strict treatment and minimally invasive surgery. With a success rate of over 95%, early pregnancy can be considered to be achieved alone in the second month after polycystic ovary surgery. Drug treatment is usually ineffective after 3 months, and surgery can be an alternative.

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