How to deal with irregular menstruation for more than half a year

Patient's question:

Hello doctor, I am 43 years old. My menstrual cycle has been irregular for more than half a year. I have taken several doses of traditional Chinese medicine, but it hasn't helped. My progesterone comes in when I take it, but it stops coming when I don't. I had one ovary removed on the left side. How should I be treated? Thank you very much for your help.

Doctor's answer:

There are many causes of amenorrhea: if it occurs due to underdeveloped reproductive organs or incomplete ovarian function, it is a normal physiological phenomenon. However, amenorrhea can also be caused by hypothalamic dysfunction resulting from environmental changes, emotional fluctuations, weight changes, stress, and fatigue. Additionally, certain conditions can also lead to amenorrhea, such as polycystic ovary syndrome (PCOS), thyroid dysfunction, tuberculosis, severe anemia, malnutrition, and others. If amenorrhea is detected, it is important to seek medical attention promptly to identify the underlying cause and receive appropriate treatment.

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