What happens when irregular menstruation comes back and forth?

Recurrent irregular menstruation may be related to endocrine disorders, polycystic ovary syndrome, uterine lesions, mental stress, excessive dieting and other factors. Irregular menstruation usually presents with symptoms such as abnormal cycles, changes in menstrual flow, or accompanying dysmenorrhea, and intervention is required based on the specific cause.

1. Endocrine disorders

Hypothalamic-pituitary-ovarian axis dysfunction is a common cause. Long-term staying up late, obesity or thyroid dysfunction can lead to hormone secretion imbalance. It manifests as shortening or lengthening of the menstrual cycle, and sometimes heavy and sometimes light menstrual flow. It is recommended to have a regular schedule and follow the doctor's advice to use estradiol valerate tablets, progesterone capsules and other drugs for adjustment when necessary.

2. Polycystic ovary syndrome

Excessive androgens and insulin resistance can lead to follicular development disorders, manifesting as oligomenorrhea, acne, and hirsutism. Ultrasound shows polycystic changes in the ovaries. Metabolism needs to be improved through lifestyle adjustments. Commonly used drugs include ethinyl estradiol cyproterone tablets, metformin tablets, etc.

3. Uterine lesions

Uterine fibroids, endometrial polyps, or adenomyosis may cause prolonged and heavy periods. Hysteroscopy can confirm the diagnosis. Smaller lesions can be controlled with levonorgestrel sustained-release intrauterine system. Larger fibroids require myomectomy.

4. Mental pressure

Long-term anxiety and depression can inhibit ovarian function through neuroendocrine pathways, leading to cycle disorders. It manifests as premenstrual breast swelling and obvious mood swings. Psychological counseling combined with aerobic exercise can help relieve symptoms. In severe cases, short-term use of fluoxetine capsules can be used to regulate neurotransmitters.

5. Excessive dieting

Rapid weight loss can reduce leptin levels, affect gonadotropin release, and cause amenorrhea or spotting. It is necessary to gradually restore a balanced diet to ensure daily protein and essential fatty acid intake. If necessary, supplement vitamin E soft capsules to nourish the ovaries.

Daily body mass index needs to be maintained between 18.5-23.9 to avoid extreme weight loss； Recording menstrual cycles helps detect problems early ； Keep warm during menstruation and reduce intake of raw and cold foods ； Do moderate yoga, jogging and other soothing exercises ； If the symptoms last for more than 3 months or there are severe abdominal pain, large number of blood clots and other abnormalities, you should see a gynecologist promptly for six sex hormones, pelvic ultrasound and other examinations.