Patient's question:
I am 32 years old, and my menstrual cycle is usually every two months. But this time, it has been three and a half months, and it still hasn't come. Today, the doctor told me to get progesterone injections and continue for several months. Will this work!? Will there be any side effects?Doctor's answer:
Hello, taking progesterone is often suspected to be caused by endocrine disorders leading to irregular menstruation. Have you determined what factors or underlying causes are leading to amenorrhea? Amenorrhea and irregular menstruation are generally influenced by internal and external factors, such as excessive mental stress, changes in environment and climate, malnutrition or metabolic disorders, gynecological inflammatory diseases, etc. These factors can interfere with the regulation and balance of the hypothalamic-pituitary-ovarian axis through the cerebral cortex. When this relationship is disrupted, it suddenly manifests as ovulatory dysfunction, thereby affecting the endometrium and leading to dysfunctional uterine bleeding. For delayed cycles and prolonged spotting, there are several possible scenarios: ① Ovarian dysfunction due to insufficient thyroid function; ② Incomplete luteal regression, leading to irregular endometrial shedding; ③ Anovulation. It is recommended to first undergo a gynecological examination at a hospital to determine the factors or underlying causes affecting menstruation, and then follow a targeted treatment plan under medical guidance for recovery! Wishing you good health!