Patient's question:
Patient Age: 22Detailed Condition and Purpose of Consultation: Recently, I experienced amenorrhea (absence of menstruation) for about 3 to 4 months at a time, which lasted for about a year. Recently, I have been having periods every month, but each time they are delayed by about 3 to 4 days. Sometimes the menstrual flow is light and dark in color. This time, there was only a small amount, and it stopped after only two days. I would like to ask what is going on? Will this affect fertility?
Doctor's answer:
I. Remove the cause to treat amenorrhea: such as eliminating stress factors, arranging work and life reasonably, and enhancing nutrition.II. Gonadotropin treatment for amenorrhea.
III. Artificial cycle treatment for amenorrhea: it can adjust the hypothalamic-pituitary-ovarian function using 3 cycles, then stop medication and observe.
IV. Estrogen treatment for amenorrhea: a small amount of estrogen has the effect of promoting pituitary function. Ethinyl estradiol 0.125–0.25 mg, once daily, for 20 days per month. The key is that it treats symptoms rather than the root cause, and it may fluctuate during the medication process. Therefore, choosing the right treatment method is very important and requires extreme caution.
V. Surgical treatment for amenorrhea: surgical resection for pituitary tumors, ovarian tumors, adrenal tumors, etc. For those with genital tract deformities, corrective surgery is performed. However, surgical treatment has high risks, slow recovery, and a high infection rate.