Irregular menstruation, will there be difficulties in getting pregnant?

Patient's question:

On March 30th, I had my period, and it has not returned as of May 20th. Additionally, on March 30th, the amount of blood flow was extremely light—my period is usually light, and the flow on that day was only half of what it normally is.
When I was younger, my periods were always delayed by half a month. After getting married in early last year, they were consistently delayed by 5 days before arriving. However, this time, they have been delayed by 20 days, and it still hasn’t arrived. A pregnancy test was negative, and the doctor prescribed progesterone capsules to take.
On December 8th last year, I experienced a natural miscarriage at 56 days of pregnancy. An ultrasound showed the fetus was only about 40 days old, and no fetal heartbeat could be detected. After becoming pregnant, I had excessive discharge, and a vaginal test revealed trichomoniasis. After inserting medication into the vagina the next day, the miscarriage occurred naturally. I did not undergo surgery, and after the miscarriage, my period returned on time. A follow-up vaginal test showed normal results.
Because the period on March 30th was very light, and I noticed the discharge was yellow, I had another vaginal test on April 19th, preparing for pregnancy. I took metronidazole tablets for 7 days and used them vaginally, and after taking Shaofu Zhuyu Granules, I did not follow up. On the 28th, I had intercourse, but my period has still not arrived.
I’m worried that taking progesterone capsules might affect my ability to conceive, and I’m also concerned that my periods may become irregular in the future, which could affect pregnancy. Can I still get pregnant now? After all, I’m getting older.

Doctor's answer:

Hello,
Irregular menstruation can lead to difficulties in getting pregnant. It is recommended to treat it with methods such as oral progesterone or hormone injection. It is possible to conceive normally. It is advisable to visit a hospital promptly for diagnosis and treatment. The occurrence of menstrual irregularities not only affects a woman's physical health but can also lead to gynecological diseases. Therefore, it is best to undergo a routine check-up in the gynecology department of a hospital, identify the cause, and receive targeted treatment. Pay attention to dietary regulation in daily life, consuming light and easily digestible foods, and avoid spicy, stimulating, and cold foods.

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