Menstrual Irregularities: Medications and PCOS Concerns

Q: Menstrual Irregularities: Medications and PCOS Concerns

Hello： Even with polycystic ovary syndrome, it is unusual to have no menstruation for many years. <br>Please visit a medical center for a thorough examination. <br>The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Menstrual induction drugs, menstrual regulation drugs, and polycystic ovary syndrome (PCOS)?

I got my first period in fifth grade, but it stopped in the second year of junior high.
I saw a doctor who said it was normal to stop since I was still growing.
However, by the second year of high school, I still hadn't gotten my period.
During this time, I took traditional Chinese medicine to regulate my cycle, but it didn't help.
I went to a gynecologist, and they confirmed that my uterus was fine.
I took medication to induce my period twice, but after that, I didn't get it again.
I initially thought it was just unstable like when I first started menstruating, and I hoped to gradually regulate it with traditional medicine, but it only came for one day and was very light.
I'm not sure if this is normal.
I also want to ask if I have polycystic ovary syndrome (PCOS), will taking medication to induce my period still result in menstruation? (I'm worried I might have PCOS.) Can being overweight cause my period to stop completely?

Nian Gao, 10~19 year old female. Ask Date: 2024/03/12

Dr. Lin Manying reply Obstetrics and Gynecology

Hello: Even with polycystic ovary syndrome, it is unusual to have no menstruation for many years.
Please visit a medical center for a thorough examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2024/03/12

More Info

Menstrual irregularities can be a complex issue, especially for young women who may be experiencing changes in their bodies. Based on your description, it seems you have been dealing with irregular menstrual cycles since your first period at age 11, and it has been particularly concerning since you stopped menstruating altogether in high school. This situation is not uncommon, and there are several factors that could contribute to your symptoms, including hormonal imbalances, lifestyle factors, and conditions such as Polycystic Ovary Syndrome (PCOS).

PCOS is a common endocrine disorder that affects many women of reproductive age. It is characterized by a combination of symptoms, including irregular menstrual cycles, excess androgen levels (which can lead to symptoms like acne and excessive hair growth), and polycystic ovaries. Women with PCOS often experience difficulty with weight management, which can further complicate menstrual irregularities. It is important to note that being overweight can indeed impact your menstrual cycle, as excess body fat can lead to increased estrogen levels, which may disrupt the normal hormonal balance necessary for regular ovulation and menstruation.

The medications you mentioned, such as hormonal treatments or "催經藥" (menstrual induction medications), can sometimes help regulate your cycle, but their effectiveness can vary based on the underlying cause of your irregularities. If you have PCOS, these medications may help induce a period, but they may not address the root cause of the hormonal imbalance. Additionally, lifestyle changes, such as weight management through diet and exercise, can significantly improve symptoms of PCOS and help restore regular menstrual cycles.

It is also worth considering that traditional Chinese medicine (TCM) approaches, such as herbal remedies, may not always yield the desired results for everyone. While some individuals find success with TCM, it is essential to consult with a healthcare provider who can offer a comprehensive evaluation and treatment plan tailored to your specific needs.

If you suspect you have PCOS, it would be beneficial to undergo further evaluation, which may include blood tests to check hormone levels and an ultrasound to assess your ovaries. A healthcare provider specializing in reproductive health can guide you through the diagnosis and management of PCOS, including potential lifestyle modifications, medications, and monitoring for any long-term health implications.

In summary, menstrual irregularities can stem from various factors, including hormonal imbalances, lifestyle choices, and conditions like PCOS. It is crucial to work closely with a healthcare provider to determine the underlying cause of your symptoms and develop an appropriate treatment plan. Regular follow-ups and monitoring can help ensure that any changes in your menstrual cycle are addressed promptly, and lifestyle modifications can play a significant role in managing symptoms effectively.

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