Patient's question:
My name is Wang Jiazhi, female, currently 53 years old. I am from Huaihua, Hunan. I have given birth to two children. I have always been in good health. Except for minor and short-term inflammation in gynecology, I have never had any major illnesses. My menstrual cycle has always been normal, and I still have my period to this day. However, since 2003 (when I was 50), my menstrual cycle has become longer and longer, from two months apart to three months, and recently it has been around four months. The last two periods were from August 6th to November 30th. Except for the extended time between periods and a longer duration of menstruation (around 15 days), there has been no pain or any other reactions. To this day, I have not had any tests or treatments. I would like to ask: In this case, is it considered a normal phenomenon?Doctor's answer:
For your current condition, it is recommended to go to a regular hospital for examination and diagnosis, followed by symptomatic treatment.The causes of menstrual disorders include:
1. Neuroendocrine dysfunction: Primarily due to instability or defects in the hypothalamus-pituitary-ovary axis.
2. Organic lesions and medications: Including local inflammation, tumors, developmental abnormalities, malnutrition, intracranial disorders, other endocrine dysfunctions (e.g., thyroid or adrenal cortex dysfunction, diabetes, etc.), as well as liver diseases, blood disorders, etc.
3. Medications for mental illnesses, endocrine preparations, or the use of intrauterine devices for contraception can all lead to menstrual disorders.