What causes a normal menstrual cycle

Patient's question:

My daughter sought medical treatment from you in 2009 after being introduced by a classmate due to irregular menstruation. She was suspected of having a tumor in the pituitary gland, but her prolactin and other hormone levels were normal, and all visual field tests were normal. After returning home, her menstruation became regular, and she is now in her third year of university. Recently, her menstruation has become irregular again. I remember you recommended a follow-up check at that time, but we did not follow up. Now, I would like to ask if you can have an MRI done at a local hospital and then seek your consultation again.

Doctor's answer:

There are many reasons for menstrual disorders. Clinically, they are usually divided into two major categories: one is functional, such as menstrual disorders caused by endocrine dysfunction; the other is organic, such as pelvic inflammatory disease, endometritis, and endometriosis, which can also cause menstrual disorders. To treat menstrual disorders, it is first necessary to identify the specific cause and treat the primary disease accordingly, then appropriately supplement with some Chinese herbal medicines for regulation.
It is recommended that you go to the hospital for an ultrasound and a checkup of the six sex hormones to identify the cause and receive symptomatic treatment.

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