Patient's question:
I was born on June 12th, and my first menstrual period came three months later. Now my son is 7 days away from being six months old, and I haven't had my second period yet. I took a pregnancy test, and each time it showed only one line, which means I'm not pregnant. But why isn't my period coming? Is this normal?Doctor's answer:
In this case, it is important to seek medical attention promptly. Irregular menstruation is merely a symptom, and many diseases can cause such conditions. The first step in treating irregular menstruation is to identify the underlying cause. Every component of the reproductive endocrine axis must be in a normal state; if any part malfunctions, the corresponding hormone levels will also change. Therefore, women with irregular menstruation must have their hormone levels and ovarian function checked. Go to the hospital for an electrochemical luminescence six-hormone test (preferably on the 3rd to 5th day of the menstrual period) and a vaginal four-dimensional color Doppler ultrasound. Remember not to take medication blindly, as menstrual-regulating drugs are hormone-based and can affect various aspects of the body. Moreover, for an endocrine system that has not yet been diagnosed, such medication can cause further disruption. If there is amenorrhea or severe endocrine disorders, it may be necessary to consider a pituitary stimulation test.