Patient's question:
From puberty until May of this year, everything has been normal. For some reason, every month from June to September this year, I've been experiencing menstrual pain. In October and November, the pain stopped, but during these two months, I've been having two periods each month. One is of normal flow, and the other is also about 7 days long, just slightly more than the amount of leukorrhea.Could it be that the menstrual pain during the summer is related to the central air conditioning in the office?
Why did I have an extra period in the middle of these two months? Last month, during a physical examination, the only issue found was low blood pressure. Could it be related to that?
Doctor's answer:
Hello: There are two major causes of menstrual disorders:1. Neuroendocrine dysfunction-induced: This primarily involves instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders.
2. Organic lesions or drug-induced: This includes local inflammation, tumors, and developmental abnormalities of the reproductive organs; malnutrition; intracranial disorders; other endocrine dysfunctions such as thyroid, adrenal cortex dysfunction, diabetes, Sheehan's disease, etc.; liver diseases; blood disorders, etc. The use of psychiatric medications, endocrine preparations, or the use of intrauterine devices (IUDs) for contraception may also lead to menstrual disorders. Certain occupations, such as long-distance runners, are prone to amenorrhea. Additionally, some abnormal bleeding during pregnancy is often mistakenly attributed to menstrual disorders.
During the mid-cycle, i.e., the ovulation period, a transient drop in estrogen levels causes the endometrium to lose hormonal support, leading to partial endometrial shedding and regular vaginal bleeding, known as ovulatory bleeding. In traditional Chinese medicine, this is referred to as "intermenstrual bleeding." It has little relation to blood pressure.