Breast tenderness and menstrual cramps, how to treat

Patient's question:

Menstrual volume is low, with dysmenorrhea on the first day and breast tenderness! Previous treatment history and effectiveness: Serum estradiol test results were 1369, serum testosterone 1.26, serum luteinizing hormone 8.68, serum follicle-stimulating hormone 2.86, serum prolactin 282, and serum progesterone.

Doctor's answer:

Hello: Due to the lack of units in your sex hormone level test results, it is not possible to determine the high or low values. The main reasons for reduced menstrual flow are thin endometrium and irregular uterine bleeding. The first-day menstrual cramps and breast tenderness may be normal responses during the menstrual period. If they do not affect daily life, there is no need for special solutions at this time. Estradiol valerate and cyproterone are estrogens and progestogens, respectively. When used together, they simulate the fluctuation of sex hormones in the female body, implementing artificial cycle therapy, which can be used to treat irregular uterine bleeding. Additionally, estrogen can promote the growth of the endometrium, offering certain therapeutic effects for conditions caused by thin endometrium and dysfunctional uterine bleeding.

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