Patient's question:
In recent years, my menstrual flow has decreased, and it's almost gone after two days. I've had a one-time hormone panel test, and the doctor said several items were low, suggesting endocrine disorder. In July of this year, I had a minimally invasive surgery for ectopic pregnancy. After the surgery, my first menstrual period was heavier but normal, but the following few periods have been lighter again. I'm wondering if it's due to low progesterone. Will it affect fertility? How should I supplement progesterone? Thank you!! I'm looking forward to a quick response!!Doctor's answer:
The causes of menstrual disorders include insufficient vital Qi, weakened disease resistance, kidney Qi deficiency, invasion by the six evils; excessive emotions, irregular diet, malnutrition, excessive sexual activity, being excessively fat or thin, falls and injuries, mechanical stimulation, and systemic diseases, among many other factors. These lead to dysfunction of the ovaries and hormonal regulation in the body, resulting in emptiness of the Chong and Ren meridians, inability of the blood sea to overflow regularly, and irregular menstrual cycles, causing illness.Treatment of menstrual disorders focuses on regulating the menstrual cycle to address the root cause. Accurate diagnosis is essential, with treatment tailored to individual symptoms. For cases where illness precedes menstrual disorders, treatment of the underlying disease should be prioritized, as the menstrual cycle will naturally regulate once the illness is resolved. For cases where menstrual disorders lead to illness, priority should be given to regulating the menstrual cycle, as the illness will naturally improve once the cycle is normalized.