Patient's question:
Detailed medical condition and consultation purpose: I am a young woman in my twenties. I started menstruating at the age of 13, but during the college entrance examination period, for some unknown reason, my menstruation stopped. I have seen many traditional Chinese medicine practitioners, but none of them could diagnose the cause. During this period, I took progesterone, and as long as I took this medication, my menstruation returned, but it stopped again after I stopped taking it. It has been four years now, and I am very anxious. So, I would like to ask a gynecologist what I should do?Doctor's answer:
Hello: Your condition falls under secondary amenorrhea, and there are many possible causes.You should visit a gynecologist for examination to identify the underlying cause and undergo targeted treatment under medical guidance. On the basis of TCM syndrome differentiation, you may choose the following traditional Chinese patent medicines:
（1）For those with qi and blood deficiency, it is recommended to replenish qi and nourish blood. You can take Ba Zhen Wan (Eight Treasure Pill) or Shi Quan Da Bu Wan (Ten Treasure Pill).
（2）For those with yin deficiency and blood deficiency, it is recommended to nourish yin and blood. You can take Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill).
（3）For those with qi stagnation and blood stasis, it is recommended to regulate qi, activate blood, and remove stasis. You can take Nü Bao (Women's Treasure), Dang Gui Jin Jiao Wan (Angelica Sinensis Decoction Pill), Fu Kang Ning Pian (Women's Health Tablet), or Gui Zhi Fu Ling Wan (Cinnamon Bark and Ephedra Pill).
（4）For those with cold-dampness stagnation, it is recommended to warm the meridians, dispel cold, and dry dampness to resolve stasis. You can take Jin Cao Wen Jing Wan (Golden Coptis Warming Jingshu Pill) or Nü Bao.
（5）For those with phlegm obstructing the Chong meridian, it is recommended to remove phlegm and unblock collaterals. You can take Cang Fu Dao Tan Wan (Atractylodes Rhizome and Pinellia Rhizome Decoction Pill).
Precautions:
1. Engage in appropriate exercise, arrange work and life reasonably, improve the environment, increase nutrition, and address chronic conditions.
2. Maintain a positive mood, avoid emotional stress, and especially avoid excessive sadness, worry, anxiety, or irritability.
3. Stay calm when facing situations, be tolerant in dealing with others, and avoid overthinking or lingering in sadness after the matter is resolved.