I haven't had my period for three months. What could be the reason? What medicine should I take?

Patient's question:

I haven't had my period for three months. There's always something black coming out every few days. I've had one child, used birth control pills, and stopped taking them six months ago. My period hasn't returned since stopping the pills, and I've only had it three times. What could be the reason, and what medication can I take to regulate it?

Doctor's answer:

Irregular menstruation refers to various changes in menstruation caused by different reasons, including the advance or delay of menarche, changes in the menstrual cycle, duration of menstruation, and menstrual flow volume. It is one of the most common symptoms of gynecological disorders. There are two major causes of irregular menstruation:
1. Neuroendocrine dysfunction-induced: This primarily involves instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders.
2. Organic lesions or drug-induced: Other factors such as physical abnormalities or medication can also lead to irregular menstruation.

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