Patient's question:
Female, 28 years old. Had two induced abortions in 2002 and 2004. Menstrual flow has decreased. Took emergency contraception on October 9th this year. Menstruation occurred on October 29th, but has not come again since. Amenorrhea for 50 days. Lower abdominal fullness and lower back pain. Had pulmonary tuberculosis in childhood.Please ask the doctor: What illness might I have? First follow-up question: What tests should I undergo? Have been to many hospitals, but every doctor has a different opinion. What should I do?
Doctor's answer:
Hello, there are many reasons for amenorrhea, and they are also very complex. Summarized, there are roughly these reasons: such as uterine developmental abnormalities, endometrial tuberculosis, uterine cavity adhesions caused by curettage, ovarian dysfunction, premature ovarian failure, polycystic ovary syndrome, pituitary tumors, anterior lobe necrosis of the pituitary caused by postpartum massive hemorrhage, or amenorrhea caused by hypothalamic dysfunction due to psychological trauma, anxiety, fear, or severe malnutrition. It is recommended to seek medical attention at a specialized hospital in a timely manner, undergo relevant examinations under the guidance of a doctor, and clarify the diagnosis and treatment.