Patient's question:
Detailed medical condition and consultation purpose: I have irregular menstruation, even amenorrhea. It has been more than half a year since I stopped menstruating. Ultrasound is normal. For the past three months, I regularly received progesterone injections and then stopped bleeding. I have been taking blood-activating and blood-stagnation Chinese medicine for a long time. However, today, according to the expected cycle date, my period should have come, but it hasn't. Should I wait for a week to see, or can I continue with artificial cycles today? Thank you for your reply.Doctor's answer:
Hello, considering you have secondary amenorrhea, it is defined as the cessation of menstruation for more than 6 months after menarche but before menopause (excluding pregnancy or lactation). It is recommended to visit a hospital for examination and targeted treatment. Common causes of secondary amenorrhea include endometrial damage or adhesions (common in multiple curettage procedures or excessive endometrial damage leading to uterine cavity adhesions), tuberculous endometritis, premature ovarian failure and polycystic ovaries, functional ovarian tumors, changes in external factors such as environmental changes, mental trauma, and malnutrition, long-acting contraceptive injections or oral contraceptives, hypogonadotropic hypogonadism, and Sheehan's syndrome (due to postpartum hemorrhage, shock causing ischemia, necrosis of the anterior lobe of the pituitary gland, and subsequent pituitary dysfunction leading to amenorrhea).