Patient's question:
I am 42 years old and haven't had a menstrual period for two months. Ultrasound findings: retroverted uterus, size is acceptable, endometrial thickness is about 0.1 cm; a low-echo area measuring approximately 1.3 cm 0.8 cm was detected on the anterior wall, with clear boundaries and relatively uniform internal echoes. The bilateral ovaries are of normal size, with slightly solid echoes. CDFI showed no obvious abnormal blood flow signals. After taking progesterone capsules for six days, my period still hasn't come. Seven days later, I had a test for luteinizing hormone, which came back at 32.5, follicle-stimulating hormone at 43.4, testosterone at 0.54, estradiol at 271.7, progesterone at 0.8, and prolactin at 8.9. Is this amenorrhea? How should it be treated?Doctor's answer:
There are many causes of menstrual disorders, such as endocrine dysfunction, gynecological inflammation, emotional fluctuations, or some effects of medication. Additionally, factors like excessive mental stress can also contribute.Recommendation: First, try to rule out external factors affecting your menstrual cycle, and wait for a while to see if the condition improves. Get plenty of rest and avoid overexertion. If the symptoms do not improve, it is advisable to visit a hospital for an ultrasound and a check-up of the six major sex hormones. Once the cause is identified, treatment can be tailored accordingly.