Patient's question:
I would like to ask for some advice.In the past two months, my menstrual cycle has been irregular. After each period, it often comes back after about ten days, but the flow is very light, only requiring sanitary pads. Previously, during the premenstrual period, I would experience lower abdominal pain, but now I don’t feel that anymore.
Could any helpful doctor friend please provide an answer as soon as possible? Thank you!
First follow-up question: This situation had never happened before. Last month, on the 16th, my period started, and it ended on the 21st. Then, on the 29th, I had light bleeding, which has continued until now.
Doctor's answer:
Hello, there are two major causes of menstrual disorders:1. Neuroendocrine dysfunction-induced: This primarily involves instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders.
2. Organic lesions or drug-induced: This includes local inflammation, tumors, and developmental abnormalities of the reproductive organs; malnutrition; intracranial disorders; other endocrine dysfunctions such as thyroid, adrenal cortex dysfunction, diabetes, Sheehan's disease, etc.; liver diseases; blood disorders, etc. The use of psychiatric medications; endocrine preparations; or the use of intrauterine devices (IUDs) for contraception may also lead to menstrual disorders. Certain occupations, such as long-distance runners, are prone to amenorrhea. Additionally, some abnormal bleeding during pregnancy is often misinterpreted as menstrual disorders.
It is recommended that you visit a gynecological department in a hospital to identify the underlying cause and receive active treatment.