Patient's question:
Since I started my period in my third year of junior high school, every month has been different. This month it arrived, and next month, I don't know when it will come. What should I do??? First follow-up question: I am now 23 years old. Previously, my flow was a bit light, but it has increased since last year. I have also had an ultrasound at the hospital, and there were no problems. My hormones have not been tested.Doctor's answer:
Hello, a normal menstrual cycle is approximately once every 28 days, lasting about 5 days, with dark red blood, no clots, and a volume of around 50ml. Menstruation is usually delayed or advanced by no more than one week.There are two main causes of menstrual irregularity: 1) Neuroendocrine dysfunction 2) Organic lesions or medication. Additionally, excessive stress, environmental changes, and malnutrition can also lead to irregular menstruation. Generally, menstrual cycles that are irregular, early, delayed, unpredictable, with excessive or insufficient bleeding, dark or pale red color, thick or thin blood, are all referred to as menstrual irregularity.
Clinically, diagnosing neuroendocrine dysfunction-related menstrual disorders requires ruling out various organic causes. It is recommended to consider progesterone regulation when necessary, while also keeping in mind that regular exercise can help improve endocrine function. Wishing you good health.