How to treat irregular menstruation for many years

Patient's question:

Medical Description: I am 23 years old, and have had irregular menstruation for six or seven years. I have been treated in several hospitals in my hometown, but there has been no significant improvement.
History of Treatment and Effectiveness: I have undergone multiple ultrasounds, taken progesterone, traditional Chinese medicine, and Chinese herbal medicine. I have been treated for over three years, but there has been no effect. Here are the hormone test results from last year and this year. Blood test report:
Last year / This year
1. Progesterone: 1.12 / 1.98
2. Prolactin: 34.97 / 79.08
3. Luteinizing Hormone: 52.98 / 68.81
4. Follicle-Stimulating Hormone: 9.32 / 23.13
5. Testosterone:

Doctor's answer:

Menstruation is caused by the cyclical secretion of estrogen and progesterone by the ovaries, leading to the cyclical shedding of the endometrium and the onset of menstruation. If menstruation is irregular, active treatment is needed. In general, irregular menstruation can be treated through estrogen-progesterone cyclical therapy. Additionally, if you have an increase in leukorrhea, it's also important to check for the possibility of gynecological inflammation.
There are many reasons that can cause menstrual disorders, such as:
Common causes include abnormal ovarian function, uterine diseases, intrauterine diseases, endocrine dysfunction, gynecological inflammation, emotional fluctuations, medication effects, environmental changes, excessive fatigue, and high mental stress.
Given that you have been experiencing this condition for a long time, it is recommended to visit a hospital for examination and follow-up treatment. Long-term abnormality can have a significant impact on the body's hormone secretion. You can also consult a traditional Chinese medicine practitioner and take some herbal remedies to regulate your condition. Generally, it is quite manageable, so there is no need to worry.

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