Patient's question:
Hello!How should I treat amenorrhea caused by taking birth control pills?
Doctor's answer:
Hello; Western medicine treatment for amenorrhea:(1) General treatment: For amenorrhea caused by temporary changes due to environmental factors or psychological trauma, adjustments can be made through enhanced nutrition, improved physical fitness, avoiding mental stress, and excessive fatigue. For amenorrhea caused by oral contraceptives, the medication should be discontinued and observed.
(2) Endometrial tuberculosis: Anti-tuberculosis medication should be administered.
(3) Hormonal treatment: Applicable for amenorrhea caused by congenital adrenal hypoplasia, impaired ovarian function, hypopituitarism, or premature ovarian failure.
① Estrogen therapy: Used for younger patients with low estrogen levels.
② Progestogen therapy: Used for patients with a certain amount of estrogen secretion.
③ Combined estrogen and progestogen therapy: Sequentially administer estrogen and progesterone to induce menstrual-like withdrawal bleeding.
④ Ovulation induction: Clomiphene, human chorionic gonadotropin (HCG), or gonadotropin-releasing hormone (GnRH) can be selected. For hypopituitarism, HMG (postmenopausal gonadotropin) may be used at a dose of 75-150 U/day, administered via intramuscular injection. After 3-5 days of treatment, if estrogen levels do not rise, the dose can be increased to 150-225 U/day. If estrogen levels rise, maintain the original dose or reduce it until the follicle matures, which typically takes 7-15 days. Concurrent with the last HMG injection or 1-2 days after stopping it, administer HCG via intramuscular injection at a dose of 500-1000 U per time, for 3-4 consecutive days. However, this must be done under B-ultrasound monitoring to prevent ovarian hyperstimulation syndrome.
(4) Surgical