Patient's question:
Detailed medical condition and consultation purpose: Regular menstrual cycle normally, preparing for pregnancy for 2 months, then continuous 3 months of amenorrhea. During this period, weight increased by several dozen pounds. Consulted at the hospital, ultrasound showed no abnormalities, doctor believed it was due to stress, recommended progesterone injection, and oral administration of a 20-day period regulation and fertility-enhancing pill. After intramuscular injection of progesterone, had one menstrual period with normal volume, as usual. Since then, has been amenorrheic. Consulted an expert, what should I do??？？？？ Thank you.Current general condition: /
Medical history: /
Previous diagnoses, treatments, and outcomes: /
First question
Doctor's answer:
Hello, you need to go to the hospital for a comprehensive examination. Amenorrhea is only a symptom, and there are many causes of amenorrhea, which can be summarized into the following categories:Uterine factors: such as congenital absence of the uterus, severe infections of the endometrium, tuberculosis, or postpartum or postabortion infections.
Ovarian factors: such as congenital absence of the ovaries or underdevelopment, ovarian damage due to inflammation, tumors, or radiation.
Pituitary factors: the pituitary may suffer ischemic necrosis due to severe postpartum hemorrhage.
Hypothalamic factors: psychological trauma, excessive worry, depression, stress, fear, or sudden changes in living environment can all affect the regulatory function of the hypothalamus, leading to amenorrhea.
Since there are many causes of amenorrhea, whether or not you can conceive in the future depends on the underlying cause. Therefore, if amenorrhea occurs, it is important to identify the cause early and seek timely treatment. Otherwise, if the condition persists for too long, the uterus may gradually atrophy, which could affect the effectiveness of treatment.
Your condition may be amenorrhea, or it could be caused by psychological factors. It is recommended that you go to the hospital for relevant examinations.