Patient's question:
My menstrual cycle has always been irregular and I am very overweight (I weighed 162 pounds during high school). During high school (I lost 20 pounds in a month by dieting), I once experienced prolonged menstruation with heavy bleeding, which was stopped by taking Yunnan Baiyao. Later, I continued to diet to lose weight. Since getting married, I haven't had a menstrual period for four months. When it came back, it lasted for another month without stopping. Dilation and curettage, pathology, and ultrasound were all normal (I have now regained 170 pounds). This condition has persisted for two years. What could be the cause, and how should it be treated?History of previous diagnoses and treatments and their effectiveness:
1. Took estrogen (Premarin) for three courses, which was effective.
Doctor's answer:
Hello, menstrual disorders caused by "dieting to lose weight." It is recommended to pay attention to a balanced diet and can apply hormones for regulation. Specific treatment measures should be taken under the guidance of a doctor.It is advised to first rule out external factors affecting menstruation and wait for a while to see if the condition improves. In daily life, maintain a regular routine, get plenty of rest, avoid overexertion, and especially avoid exposure to cold and dampness during your period. Prevent excessive dieting, smoking, and limit alcohol consumption. Pay attention to your dietary structure, consuming more lean meat, grains, dark green leafy vegetables, and calcium-rich foods. Avoid overeating cold and raw foods.
Maintain a positive mood, strengthen exercise, and improve physical fitness. If the symptoms do not improve, it is recommended to seek medical attention promptly to identify the underlying cause and follow the doctor's advice for early, targeted treatment.