How to regulate a shortened menstrual cycle

Patient's question:

[Description of the condition: Since September, my menstrual cycle has suddenly shortened to every 20 days. The amount of blood flow during each period has decreased. Previously, it was around 28 days, and the flow was heavier. I am 28 years old, have given birth, and have been using an IUD for nearly three years. I am usually active in sports, and I don’t know what caused this change.
Duration and course of the illness: 4 months
Current general condition: I feel no discomfort.
Medical history: None
Previous diagnoses and treatments, as well as their effectiveness: None
Ancillary examinations: Normal results from an ultrasound examination]

Doctor's answer:

Hello, you have severe menstrual irregularities, which are likely caused by endocrine disorders. It is crucial to identify the specific cause to effectively manage and treat the condition. The menstrual interval is prolonged, and the menstrual cycle is significantly abnormal. It could be related to gynecological issues or endocrine disorders. After a definitive diagnosis, treatment can be more effective. Do not use medication blindly; it is still necessary to undergo a sex hormone six-item test to determine if it is caused by endocrine disorders.

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