How to deal with the fact that menstruation didn't start until more than half a year after menarche?

Patient's question:

I am 23 years old, and since my first menstrual period at 17, I have basically had my period only more than half a year later. I had one last December at the end of the month, and then on January 3rd, it was clean, but three days later, it came again, lasting for 6 days. Then, on July 11th, I had another period, which lasted until the 16th, with only a very small amount of blood clots. After that, I haven't had a period since. Every winter, my hands and feet get cold, especially at night when my feet are so cold that I can't sleep. I have seen a traditional Chinese medicine doctor and taken Chinese medicine, but it hasn't helped. I have also seen a Western medicine doctor, and the period only comes when I take medicine, but it stops when I don't. I am preparing to get married and am afraid I won't be able to have children. I am in a hurry!

Doctor's answer:

According to your medical history, your condition is related to menstrual irregularity, which is associated with various factors such as endocrine disorders and uterine cold. May I ask if you have had a thorough check-up of your sex hormone levels before? What were the results of the check-up? If you haven't, I recommend you go to a large hospital for a sex hormone level check and a color Doppler ultrasound to identify the cause and then treat accordingly. In your daily life, try to eat more soy products and pay attention to keeping your lower abdomen warm. Best wishes.

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