Patient's question:
Female, 28 years old. Had two induced abortions in 2002 and 2004. Menstrual flow has decreased. Took emergency contraception on October 9th this year. Menstruation occurred on October 29th, but has not come since. 50 days of amenorrhea, lower abdominal fullness, and lower back pain. Had pulmonary tuberculosis in childhood.Doctor, what illness might I have? First follow-up question: What tests should I undergo? Have visited many hospitals, but each doctor has a different opinion. What should I do?
Doctor's answer:
Hello, there are many reasons for amenorrhea, and they are also very complex. Summarized, there are roughly the following reasons: such as, uterine developmental abnormalities, endometrial tuberculosis, uterine cavity adhesions caused by curettage, ovarian dysfunction, premature ovarian failure, polycystic ovary syndrome, pituitary tumors, anterior lobe necrosis of the pituitary caused by postpartum massive hemorrhage, or amenorrhea caused by hypothalamic dysfunction due to mental trauma, anxiety, fear, or severe malnutrition. It is recommended to seek medical attention promptly to specialized departments in hospitals, undergo relevant examinations under the guidance of a doctor, and clarify the diagnosis and treatment.