Patient's question:
I am 29 years old this year. I have had irregular menstruation for 12 years. The longest menstrual cycle is once every six months, and the shortest is once every 60 days. Five years ago, I got married. After the marriage, I have been infertile. After examination, it was found that I have endocrine disorders and luteal insufficiency. There are follicles, but they cannot grow. The uterus is small (immature uterus). After treatment, I got pregnant and had a baby who is now two and a half years old. However, I still have endocrine disorders, insufficient luteal function, and irregular menstruation. The longest menstrual cycle after childbirth is 76 days or 60 days, and once it was 30 days. The last menstrual period was on July 10th, and I haven't had another period since then.Doctor's answer:
Hello: Irregular menstruation refers to changes in the menstrual cycle caused by various factors or etiologies and is one of the most common symptoms of gynecological disorders. The factors or etiologies that can cause irregular menstruation fall into two major categories: 1. Neuroendocrine dysfunction: This primarily involves instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders. 2. Organic lesions or drug-induced causes. Uterine hypoplasia, also known as "immature uterus," refers to a uterus that remains smaller than normal size after puberty, commonly referred to as a "small uterus." Delayed menstruation accompanied by menstrual oligomenorrhea, dysmenorrhea, or even menstrual disorders is often a significant manifestation of uterine hypoplasia. Uterine hypoplasia is mainly caused by endocrine dysfunction. Typically, by assessing the size of the uterus, it is possible to roughly determine whether other endocrine systems are functioning normally, such as the pituitary gland, hypothalamus, and ovaries. It is recommended that you visit a professional hospital for diagnosis to identify the underlying cause and receive appropriate treatment. Wishing you good health!