Irregular Periods: Causes and Solutions for Women's Health - Obstetrics and Gynecology

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Irregular menstrual cycle?


Hello Doctor: In November 1999, my first child passed away due to a sudden umbilical cord twist when I was ten months pregnant.
Since then, my menstrual cycle has been irregular, and each time I visit a doctor, the treatment is not always effective.
I have also experienced bladder and urethra infections, as well as kidney inflammation accompanied by fever.
Currently, I have not had my period for three months, and I am not pregnant.
During this time without menstruation, I have noticed an increase in discharge that has a fishy odor.
Sometimes the discharge is white, and other times it is yellow.
My vulva is very itchy, and I have developed small bumps that are also itchy.
I tend to squeeze them like pimples, and they can be expressed like pimples, although some cannot be squeezed out.
Doctor, I am very worried that there may be some pathological changes.
Why are some doctors unable to normalize my menstrual cycle? I have taken strong menstrual induction medications, but they have not been effective.
The last time my period did not come, the doctor mentioned it might be related to the bladder infection, but I am unsure if that is true.
I have also consulted a urologist, yet my period still has not returned.
Doctor, please help me! Thank you!

cc, 20~29 year old female. Ask Date: 2000/12/17

Dr. Wu Zongcheng reply Obstetrics and Gynecology


Response: Upon careful review of your condition, it can be divided into two aspects: (1) Irregular menstruation: Please visit a major hospital to check your hormone levels.
Based on your description, it seems there may be an issue with ovarian function and hormone secretion.
It is essential to identify which hormone is problematic—whether it is related to the pituitary gland or the ovaries—so that targeted treatment can be administered.
(2) Regarding inflammation and discharge issues, please have a thorough examination by a gynecologist to determine the specific type of inflammation and the source organ involved.
Targeted treatment based on the underlying cause should lead to recovery.
If the cause is difficult to identify, I recommend undergoing a "mini-laparoscopy" at our hospital; this procedure allows the patient to remain awake while the physician uses a laparoscope to help identify the source of the problem.

Reply Date: 2000/12/17

More Info


Irregular menstrual cycles can be a source of significant concern for many women, and understanding the underlying causes is crucial for effective management. Your situation, characterized by a lack of menstruation for three months, increased vaginal discharge with varying colors, and itching, suggests a complex interplay of factors that may be affecting your menstrual health.

Firstly, it's important to recognize that menstrual irregularities can stem from a variety of causes, including hormonal imbalances, stress, lifestyle changes, and underlying medical conditions. In your case, the history of a traumatic pregnancy loss and subsequent health issues, such as urinary tract infections and kidney inflammation, could contribute to hormonal disruptions. The menstrual cycle is regulated by a delicate balance of hormones, and any disturbance in this balance can lead to irregularities.

Hormonal imbalances are often the primary culprits behind irregular periods. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, and other endocrine issues can disrupt the normal hormonal signals that regulate menstruation. Given your history of urinary tract infections and kidney inflammation, it's also possible that chronic inflammation or infection could be influencing your hormonal health. Infections can lead to systemic inflammation, which may affect the hypothalamus and pituitary gland, both of which play critical roles in regulating the menstrual cycle.

The presence of increased discharge, particularly if it has a foul odor, along with itching and the formation of small bumps, raises the possibility of a vaginal infection or other gynecological issues. Conditions such as bacterial vaginosis or yeast infections can cause similar symptoms and may also contribute to menstrual irregularities. It's essential to have these symptoms evaluated by a healthcare professional, as they may require specific treatments to restore normal vaginal flora and alleviate discomfort.

Regarding the use of strong medications to induce menstruation, it's important to approach this with caution. While such medications can be effective in some cases, they may not address the underlying issues causing the irregularities. If hormonal imbalances are at play, a more comprehensive approach that includes lifestyle modifications, stress management, and possibly hormonal therapy may be necessary.

Stress and lifestyle factors can also significantly impact menstrual cycles. Changes in routine, diet, exercise, and emotional well-being can all contribute to irregularities. It's worth considering whether any recent changes in your life may have coincided with the onset of your menstrual issues.

In summary, your irregular menstrual cycles and associated symptoms warrant a thorough evaluation by a healthcare provider. This should include a detailed medical history, physical examination, and possibly laboratory tests to assess hormone levels and rule out infections or other underlying conditions. Treatment may involve addressing any infections, managing hormonal imbalances, and making lifestyle adjustments to support overall reproductive health. Remember, open communication with your healthcare provider is key to finding an effective solution tailored to your specific needs.

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