What problems cause menstrual disorders?

Patient's question:

Hello doctor, I would like to consult: I had my period on September 23rd, and it hasn't come yet. I went to the hospital for a thorough check-up, and the doctor ordered an ultrasound (December 21, 2010): The uterine body's anteroposterior diameter is 42, transverse diameter 25, and approximate diameter 33, endometrial thickness 6. The transabdominal examination showed: The uterus is relatively regular in shape, with a smooth contour and normal size. The internal echo of the myometrium is relatively uniform, and the endometrium is clear. The right ovary's anteroposterior diameter is 40, transverse diameter 16, and the left ovary's anteroposterior diameter is 37, transverse diameter 17. No obvious abnormal echoes were observed in both ovaries. The MRI suggests: The uterus and both ovaries show no obvious abnormalities. The doctor didn't say anything and asked me to do a six-hormone test (December 21, 2010): Estradiol (E2) 48.34 (follicular phase: 24-144).

Doctor's answer:

I have irregular menstruation due to long-term endocrine disorders, which have led to thinning of the endometrium. My FSHLH levels are both high, and my E2 levels are low, showing signs of early ovarian failure. It is recommended to seek timely treatment, otherwise it may lead to early menopause, amenorrhea, ovarian inflammation, infertility, etc. It is also advised to pay attention to diet in daily life and avoid stimulating foods. Rest more! I hope the above answers can help you. Thank you.

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