Menstrual cramps. Before removing the IUD, menstruation occurred once every two months. A few days before menstruation

Patient's question:

Every time I have my period, my stomach hurts. After the pain, I occasionally see small blood clots. I usually have low blood pressure. It wasn't until after giving birth to my child, who is now five and a half months old, that my body started feeling uncomfortable all day, getting colds, and everything. I have body aches. I often dream. Before my period, my neck also seems to hurt badly. I feel cold. I often feel cool in my stomach.

Doctor's answer:

One or more dysfunctions in the hypothalamic-pituitary-ovarian axis can lead to anovulation, which is one of the pathophysiological bases of menstrual disorders and also one of the causes of infertility. It is an urgent issue that many patients seek to solve. Some patients may ovulate but have luteal phase deficiency, which can also cause infertility. Different ovulation-inducing drugs are selected based on the patient's condition to improve ovarian function or replace part of the function of the pituitary and hypothalamus.

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