Patient's question:
Irregular menstruation, it has been irregular for several years, anyway, no regular pattern. Since 2009, I haven't had a period for 3 months, so I went to see a doctor. The ultrasound check was fine, the doctor prescribed progesterone for 5 days, and I got my period 10 days later. Later, for 3 consecutive months, it was relatively normal, but then it started to become irregular again, coming once every 2 months, and severe menstrual pain also appeared, unbearable, every time I had to go to the hospital. During this time, ultrasound checks were also normal, so I didn't pay much attention. I took traditional Chinese medicine, and it was normal for a few months. The last time I had my period was April 10th, and it's been 70 days since then. A few days ago, I went to the hospital for a check-up, and the doctor prescribed progesterone to be taken for 10 consecutive days, and also did a six-item sex hormone test, which were:Follicle-stimulating hormone: 3.50 (reference luteal phase 1.70-7.70).
Luteinizing hormone: 16.55 (reference luteal phase 1.00-11.40).
Prolactin: 14.04 (reference 3.40-24.10).
Estradiol: 367.50 (reference luteal phase 160.90-774.60).
Progesterone: 9.03 (reference luteal phase 5.30-86.00).
Testosterone: 2.11 (reference 0.20-2.86).
Doctor's answer:
Based on your condition, it seems like you might have Polycystic Ovary Syndrome (PCOS). You have infrequent menstruation and signs of hyperandrogenism. If the ultrasound also shows polycystic ovary characteristics, then it would definitely be PCOS. However, don't worry too much—this condition is quite common now. In the short term, it may manifest as infrequent menstruation, but over time, it can lead to metabolic diseases such as obesity and diabetes. The main impact on pregnancy is due to infrequent ovulation. Actually, it's not a big issue as long as there is ovulation, pregnancy is still possible, though the chances might be a bit lower.Recommendations:
There's nothing much to worry about in daily life, but it's important to exercise more. I suggest you get an ultrasound done. You can also use progesterone regularly to induce withdrawal bleeding, which helps protect the endometrium and prevents excessive stimulation that could lead to hyperplasia or even cancer. If you don't want children, you can use Dian 35 to regulate your menstruation, and it can also lower androgen levels! If you want children but are not ovulating, you can take ovulation-stimulating drugs.