Irregular Menstruation: When to Seek Medical Help - Traditional Chinese Medicine

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Irregular menstruation


Hello Dr.
Wu, this is Xiao Zhen.
I asked you a question last time regarding my irregular menstruation.
I received a menstrual induction injection a week ago, and now it has been 5 days.
Do I need to go to the hospital for a thorough examination, or is it sufficient to seek treatment from a traditional Chinese medicine practitioner?

Xiao Zhen......., 20~29 year old female. Ask Date: 2005/07/05

Dr. Wu Xuanzhang reply Traditional Chinese Medicine


Dear Xiao Zhen: Hello, menstrual issues can be related to endocrine hormones as well as ovarian and uterine problems.
Irregular menstrual cycles or amenorrhea require thorough examination to identify the underlying causes.
I recommend that you visit a hospital.
Both Western and Traditional Chinese Medicine gynecology departments can work together to determine the cause and provide treatment.
Thank you!

Reply Date: 2005/07/05

More Info


Dear 小真,
Irregular menstruation can be a common issue for many women, and it can arise from a variety of factors, including hormonal imbalances, stress, weight changes, and underlying medical conditions. Given your recent experience with menstrual irregularities and the fact that you received treatment to induce menstruation, it’s understandable that you might be concerned about your menstrual health.


When to Seek Medical Help
1. Duration and Frequency: If your menstrual irregularities persist for several cycles, or if you experience significant changes in the duration or frequency of your periods, it’s advisable to seek medical attention. Regular cycles typically range from 21 to 35 days, and any significant deviation from this pattern warrants further investigation.

2. Associated Symptoms: If you experience additional symptoms such as severe pain, heavy bleeding (soaking through one or more pads or tampons every hour for several consecutive hours), or any unusual discharge, you should consult a healthcare provider. These symptoms could indicate conditions such as fibroids, polyps, or even more serious issues like endometriosis or cancer.

3. Age Considerations: If you are approaching menopause (typically around age 45-55), irregular periods can be a normal part of the transition. However, if you are younger and experiencing sudden changes, it’s important to evaluate the cause.

4. Underlying Health Conditions: Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, and other hormonal imbalances can lead to irregular menstruation. If you have a history of such conditions or if they run in your family, it’s wise to discuss this with your doctor.

5. Lifestyle Factors: Significant weight loss or gain, excessive exercise, or high levels of stress can also affect your menstrual cycle. If you suspect that lifestyle factors are contributing to your irregular periods, it might be beneficial to address these first, but ongoing issues should still be evaluated by a healthcare professional.


Traditional Chinese Medicine vs. Conventional Medicine
You mentioned the possibility of seeking treatment through Traditional Chinese Medicine (TCM). TCM can be beneficial for some women in regulating menstrual cycles and addressing underlying imbalances. Acupuncture, herbal remedies, and dietary changes are commonly used approaches. However, it’s important to ensure that any treatment you pursue is complementary to conventional medical advice.

If you have already started TCM treatment and are seeing improvements, that’s a positive sign. However, if your irregularities persist or worsen, it would be prudent to undergo a thorough evaluation by a gynecologist or a healthcare provider specializing in women's health. They may recommend blood tests to check hormone levels, imaging studies like an ultrasound, or other diagnostic procedures to rule out any serious conditions.


Conclusion
In summary, while TCM can be a helpful adjunct to managing menstrual irregularities, it’s crucial to monitor your symptoms closely. If you experience persistent irregularities, significant changes, or any concerning symptoms, I recommend scheduling an appointment with a healthcare provider for a comprehensive evaluation. They can help determine the underlying cause of your irregular menstruation and guide you toward the most appropriate treatment options.

Take care, and don’t hesitate to reach out for further assistance or clarification regarding your health concerns.

Best regards,
Doctor Q&A Teams

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