Does having hepatitis B cause menstrual disorders?

Patient's question:

Before getting divorced, I went for a pre-marital health check with my husband. The result showed that I was a carrier of the hepatitis B virus. Later, I have been taking medication for treatment. Now my health has improved, and liver function tests are also normal. However, my menstrual cycle is always irregular—sometimes it only comes once every two months, and the periods are very short. Is this related to my hepatitis B condition?

Doctor's answer:

There is a certain relationship. When women suffer from hepatitis, liver function is damaged. As a result, the function of estrogen inactivation in the liver increases, leading to a relative increase in estrogen in the body, which causes ovarian dysfunction and results in certain changes in sexual physiology, such as irregular menstruation. Another manifestation of hepatitis causing menstrual abnormalities is delayed menstruation or periodic amenorrhea. As long as liver lesions can be actively treated and controlled, menstruation can return to normal. For patients, if the hepatitis B condition is severe, timely symptomatic treatment and appropriate medication are necessary. Otherwise, it may lead to a recurrence of hepatitis B. In addition, patients also need a proper diet and maintain a positive mood. It is hoped that the answers to the above questions can help everyone.

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