What are the causes of menstrual disorders?

Patient's question:

I am 20 years old this year, and my menstrual cycle has never been very regular. Especially from last year's second half to now, it takes 2-3 months for it to come each time, and it is also more than usual, accompanied by metrorrhagia. What is the cause of this?

Doctor's answer:

1、Stress-induced: Long-term stress can inhibit the function of the pituitary gland, leading to the cessation of ovulation and estrogen production by the ovaries, which in turn causes menstrual disorders. Additionally, prolonged feelings of depression or unhappiness in women can also result in menstrual irregularities.
2、Ovarian issues: In women of reproductive age, menstrual disorders are often caused by poor luteal function of the ovaries, commonly having cycles but with shortened periods or excessive menstrual bleeding.
3、Obesity-induced: Obesity occurs when the intake of calories exceeds the body's energy expenditure. Long-term obesity in women can disrupt endocrine and metabolic functions, leading to menstrual disorders, infrequent menstruation, amenorrhea, and functional uterine bleeding.
4、Extreme dieting: In pursuit of beauty, many women resort to extreme dieting to control their weight. Due to insufficient nutrient intake, large amounts of fat and protein are consumed, impairing estrogen synthesis and causing a significant deficiency. This can affect the onset of menstruation, even leading to infrequent menstruation or amenorrhea.

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