At the age of twenty-three, I have never had a menstrual period. Is there a problem?

Patient's question:

I am 23 years old and have never had a menstrual history.

Doctor's answer:

The causes of menstrual disorders can be divided into two major categories:
1. Neuroendocrine dysfunction-induced: Primarily due to instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders.
2. Organic lesions or drug-induced.
Treatment for menstrual disorders first requires an ultrasound examination and testing for six sex hormones to identify the specific cause. Treatment should then target the primary disease, supplemented appropriately with some traditional Chinese medicine for regulating menstruation. Pay attention to keeping warm and resting during the menstrual period.

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