Is menstruation not normal?

Patient's question:

Detailed medical condition and consultation purpose: To understand

Doctor's answer:

Hello, you need to go to the hospital for a comprehensive examination. Amenorrhea is only a symptom, and there are many causes of amenorrhea, which can be summarized into the following categories:
Uterine factors: such as congenital absence of the uterus, severe infections of the endometrium, tuberculosis, or postpartum or post-abortion infections.
Ovarian factors: such as congenital absence of the ovaries or underdevelopment, ovarian damage due to inflammation, tumors, or radiation.
Pituitary factors: the pituitary may be ischemic and necrotic due to severe postpartum hemorrhage.
Hypothalamic factors: psychological trauma, excessive worry, depression, stress, fear, or sudden changes in living environment can all affect the regulatory function of the hypothalamus and cause amenorrhea.
Since there are many causes of amenorrhea, whether you can conceive in the future depends on the underlying cause. Therefore, if amenorrhea occurs, it is important to identify the cause early and receive timely treatment. Otherwise, if the condition persists for too long, the uterus may gradually atrophy, affecting the efficacy of treatment.
Your condition may be amenorrhea, or it could be due to hormonal reasons. It is recommended to go to the hospital for relevant examinations.