Irregular menstruation, early menopause, how to treat

Patient's question:

Starting from the age of 40, my menstrual cycle became irregular. I had a check-up for 6 hormone tests, and the results said that my menopause had come early.

Doctor's answer:

The female physiological cycle is affected by fluctuations in the levels of estrogen and progesterone in the body. The calculation of a normal cycle is from the first day of this menstruation to the first day of the next menstruation, generally within a range of 28 ± 7 days. Generally, irregular menstrual cycles, such as early or late periods, irregular cycles, excessive or insufficient menstrual flow, dark or pale red color, thick or thin menstrual blood, etc., are collectively referred to as menstrual disorders.
There are two major causes of menstrual disorders: 1) Neuroendocrine dysfunction 2) Organic lesions or medication. Additionally, excessive mental stress, environmental changes, malnutrition, and other issues can also lead to irregular menstruation.
In clinical diagnosis, to identify menstrual disorders caused by neuroendocrine dysfunction, it is essential to rule out various organic causes. Only after a thorough examination can the cause of menstrual disorders be determined, such as checking whether the ovaries and uterus are normal, whether hormone secretion is normalized, etc. It is necessary to undergo a clear gynecological examination in a regular hospital with qualified conditions to ensure more scientific and appropriate treatment, thereby avoiding delays in diagnosis.

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