Postpartum hemorrhage-induced amenorrhea: How to handle it

Patient's question:

Detailed medical condition and consultation purpose: Postpartum hemorrhage-induced amenorrhea, hair loss, sallow complexion, and emaciation. What should I do?

Doctor's answer:

Hello, amenorrhea can be divided into physiological and pathological types. Pathological amenorrhea includes: 1. Diseases; 2. Lower reproductive tract obstruction; 3. Imperfect or underdeveloped reproductive organs; 4. Tuberculous endometritis; 5. Abnormal function of the pituitary or hypothalamus. If the cause is not identified, blindly using hormones (birth control pills are hormones) to "regulate" can worsen the already disrupted endocrine system, making it even more chaotic. After stopping the medication, it is almost certain to recur because the underlying cause has not been addressed. It is recommended to use electrochemical luminescence to test the endocrine system, and intra-cavitary four-dimensional color Doppler ultrasound to examine the ovaries and uterus. If necessary, perform a pituitary stimulation test. This will help identify the cause of amenorrhea, making treatment more effective.

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