Patient's question:
This year I am 33 years old. In the past three months, my menstrual cycle has been irregular. I have been having two periods a month, and each period lasts for 7 days. Today, after checking at the hospital, they said my ovarian function is poor. They prescribed Ba Zhen Granules, An Gong Huang, and Roxithromycin. I am so scared. What should I do?Doctor's answer:
Confirmed as menstrual disorders caused by neuroendocrine dysfunction should adopt different treatment plans based on the severity of the condition and the patient's specific circumstances. The main issues menstrual disorders bring to patients are as follows, and treatment should focus on addressing these problems:(1) Bleeding and anemia: Due to prolonged periods and excessive menstrual flow, in addition to general hemostatic measures, hormones or uterine curettage may be considered as appropriate.
(2) Irregular cycles: Estrogen-progestogen monotherapy or combination therapy can be used, or traditional Chinese medicine treatment may be an option.
(3) Infertility: Dysfunction in one or more links of the hypothalamic-pituitary-ovarian axis leading to anovulation is one of the pathophysiological bases of menstrual disorders and also a factor or cause of infertility. This is a pressing issue for many patients. Some patients may ovulate but have luteal phase deficiency, which can also cause infertility. Depending on the patient's condition, different ovulation-inducing drugs may be selected to improve ovarian function or replace partial functions of the pituitary and hypothalamus.
Excessive or insufficient menstrual flow is abnormal, both indicating poor endocrine function. If the endometrium is hyperplastic or there are uterine fibroids, menstrual flow may be very heavy. If menstrual flow is reduced due to oral contraceptives, consult a doctor to determine whether switching to a different contraceptive method is necessary.