What problems should be paid attention to during summer amenorrhea?

Patient's question:

Medical Description: In the past two summers, there have been instances of irregular periods, with no other discomforts in the body. However, facial acne has become severe. Is this caused by endocrine imbalance?
History of Treatment and Effects: The doctor only prescribed some traditional Chinese medicine for regulating periods, but it only improved the condition temporarily.
Desired Help: Could experts please advise what issues I should pay attention to and how I should view this problem?

Doctor's answer:

If vaginal bleeding occurs after menopause, it should not be taken lightly. During perimenopause, women may experience irregular vaginal bleeding; but after menopause, if you are not undergoing hormone therapy, vaginal bleeding is no longer normal. In this case, you should promptly seek medical attention to identify the cause of the bleeding.
After menopause, be vigilant about the rapid decline in bone density. In the first few years after menopause, bone loss occurs at the fastest rate. When bone loss exceeds the normal rate of bone remodeling, osteoporosis may develop. Regular exercise can help maintain strong bones and muscles. Additionally, to prevent osteoporosis, calcium and vitamin D supplements should be taken. Include sufficient dairy products and calcium-rich foods in your diet.
After menopause, sexual desire may significantly decrease. This is because the vaginal skin and tissues may become thinner and drier, making sexual activity painful and requiring longer time to reach orgasm. However, overall, women can still enjoy sexual life as they did when they were younger during perimenopause and after menopause.

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