Patient's question:
Online Doctor: Hello!I am 32 years old. My menstrual cycle has been irregular since getting married, sometimes coming earlier or later, and sometimes occurring twice in a month. I had a daughter after 1997 and underwent an ectopic pregnancy surgery in 2003. Currently, I haven’t had a menstrual period for 4 months (I’ve never had this issue before). On November 30, 2005, I received a 3-day progesterone injection, but my period still hasn’t arrived. I would like to ask, does this count as amenorrhea? Could you recommend a renowned doctor? Thank you!!!!
Person in Distress - First Follow-up Question: An ultrasound examination was normal. I also had a CT scan of the pituitary gland in 2002, which was normal, and I have had blood tests as well.
Doctor's answer:
Hello: Based on your situation, it should be classified as amenorrhea. It is recommended to visit a hospital for endocrine and ultrasound examinations.Amenorrhea refers to the pathological absence of menstruation for more than three consecutive months in women of reproductive age. Treatment can be selected based on the cause and clinical manifestations using traditional Chinese medicine.
▲ Gradual delay of menstruation, reduced volume, pale and thin blood, followed by cessation, accompanied by pale or sallow complexion, dizziness, fatigue, limb weakness, occasional headaches, palpitations, insomnia, pale tongue, and weak pulse. In such cases, traditional Chinese medicine that tonifies qi, nourishes blood, and regulates menstruation should be chosen, such as Ba Zhen Yi Mu Wan, Blood Nourishing and Calming Tablets, Blood Rapidly Raising, Angelica and Jujube, Ginseng Yang Rong Wan, Shi Quan Da Bu Wan, Gynecological Rejuvenating Pills, and Ba Bao Kun Shun Wan. Among them, Ba Zhen Yi Mu Wan has a balanced nature, is nourishing without being greasy, and can be taken regularly. Ba Bao Kun Shun Wan has the effect of tonifying qi and blood while also soothing the liver and regulating menstruation, making it more suitable for amenorrhea caused by blood deficiency and qi stagnation. Blood Rapidly Raising, composed of Astragalus, Angelica, Epimedium, and Eel Collagen, has the functions of nourishing blood, invigorating blood circulation, and tonifying qi. It is used to treat amenorrhea caused by qi and blood deficiency.
▲ Menstruation absent for several months, depression, irritability, distension and fullness in the hypochondria, lower abdominal pain or tenderness, deep and wiry pulse. In such cases, traditional Chinese medicine that regulates qi, invigorates blood circulation, and resolves blood stasis should be chosen, such as Huo Xue Tiao Jing Wan, Women's Dysmenorrhea Pills, Shi Xiao San, and Xue Fu Zhu Yu Wan. These can be taken regularly. Tiao Jing Zhi Mi Wan, Tong Jing Gan Lu Wan, Tiao Jing Hua Yu Wan, and Gynecological Tong Jing Wan are more inclined to break blood stasis and regulate menstruation. Tiao Jing Zhi Bao Wan and Gynecological Hui Sheng Dan, which break qi and resolve blood stasis while also alleviating pain, should not be taken frequently or for a long time. Women's Tong Jing Wan can be used for blood stasis combined with qi and blood deficiency.