Long-term irregular menstruation, amenorrhea, what's going on?

Patient's question:

Detailed medical condition and purpose of consultation: 4 months without menstruation, want to know the reason
Duration and course of the current illness: Long-term irregular menstruation
Current general condition: Still no menstruation
Medical history: None
Previous diagnoses, treatments, and outcomes: Had 6 sex hormone tests at the hospital, results showed LH/FSH ratio over 3, but ultrasound examination was normal, unable to diagnose as polycystic ovary syndrome.
Additional tests: After puberty, small beards have grown on the lips, with a medium to slightly underweight build.

Doctor's answer:

??????There are many reasons that can cause menstrual disorders, such as: common ones include abnormal ovarian function, uterine diseases, cavity diseases, endocrine dysfunction, gynecological inflammation, emotional fluctuations, drug effects, environmental changes, overexertion, and excessive mental stress, etc.
Since you have been experiencing this for a long time, it is recommended to go to the hospital for a check-up and then undergo regulation. Long-term abnormality can have a significant impact on the body's hormone secretion. You can also consult a traditional Chinese medicine practitioner and take some herbal medicine for regulation. Generally, it is still very effective to regulate it, so there is no need to worry.

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