Menstrual Irregularities: Causes and Concerns - Obstetrics and Gynecology

More Info

---

Menstrual irregularities can be concerning, especially when you experience a significant delay in your menstrual cycle, such as not having a period for three months. There are several potential causes for this condition, and understanding them can help you address your concerns effectively.

Firstly, it’s important to note that amenorrhea, which is the absence of menstruation, can occur for various reasons. Since you mentioned that you have not engaged in sexual activity, pregnancy is less likely, but it is still advisable to rule it out with a pregnancy test if you haven't done so already.

One common cause of missed periods is hormonal imbalances. The menstrual cycle is regulated by a complex interplay of hormones, including estrogen and progesterone. Factors that can disrupt this hormonal balance include stress, significant weight loss or gain, excessive exercise, and underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Stress, in particular, can have a profound impact on your menstrual cycle, as it affects the hypothalamus, which plays a crucial role in hormone regulation.

Another potential cause of your symptoms, including the left pelvic pain and hair loss, could be related to ovarian issues. Conditions such as ovarian cysts can cause pain and may also affect your menstrual cycle. Additionally, hormonal changes can lead to hair loss, which might be linked to conditions like PCOS or thyroid dysfunction.

The brown discharge you mentioned could be a sign of old blood, which sometimes occurs when the body is preparing for a period that doesn’t come. However, it can also indicate other issues, such as hormonal fluctuations or even an infection. Given that you have sought treatment from a traditional Chinese medicine practitioner without improvement, it may be beneficial to consult a Western medicine healthcare provider for a comprehensive evaluation.

Diagnostic tests that your healthcare provider may consider include blood tests to check hormone levels, a pelvic ultrasound to assess for ovarian cysts or other abnormalities, and possibly thyroid function tests. These tests can help identify any underlying conditions that may be contributing to your menstrual irregularities.

In summary, the absence of menstruation for three months can be attributed to various factors, including hormonal imbalances, stress, weight changes, and potential ovarian issues. The accompanying symptoms of pelvic pain and hair loss warrant further investigation to rule out any serious conditions. It is advisable to consult with a healthcare provider who can perform the necessary tests and provide a tailored treatment plan based on your specific situation. Early intervention can help address any underlying issues and restore your menstrual cycle to normal.