Irregular Menstruation: Causes, Effects, and Treatment Options

Irregular menstruation?

I started menstruating in the second year of junior high school, but it has been irregular since then.
Every month, if I don't take medication, my period won't come.
I have tried various methods, such as acupuncture, traditional Chinese medicine, and Western medicine treatments to induce menstruation, but none have worked.
Additionally, my menstrual flow has decreased over time; sometimes it lasts only three days, and the first two days have minimal bleeding.
I previously had blood tests for hormone levels, and the doctor diagnosed me with polycystic ovary syndrome (PCOS).
Another doctor mentioned I have uterine dysfunction, which may make it difficult for me to conceive, and even if I do get pregnant, I might have a higher risk of miscarriage, potentially requiring bed rest until delivery.
Since becoming sexually active, I have never been pregnant.
I also experienced pelvic inflammatory disease (PID) after sexual intercourse, but this issue has not recurred with my new boyfriend.
I got married in October this year, and in November, the doctor advised me to start taking ovulation-inducing medication on the fifth day of my period, taking two pills at a time.
Today, I received an ovulation trigger injection.
I would like to ask:
1.
Can my menstrual cycle be treated? The doctor suggested that I should quickly have a child to improve my condition.
2.
What is polycystic ovary syndrome (PCOS), what are its effects, and can it be resolved?
3.
What is uterine dysfunction? The doctor mentioned they had not heard of it before.
4.
Generally, how long does it take for ovulation to occur after taking ovulation-inducing medication (i.e., how long does it stay in the body)?
5.
Is the decreasing menstrual flow due to long-term medication use?
6.
The doctor said that if I have never been hospitalized or had surgery, I won't have blocked fallopian tubes.
Is that correct?
7.
I am a carrier of hepatitis B.
What impact will this have on my pregnancy? What should I be aware of?
8.
In a previous health check, I was found to have O-negative blood type.
If I become pregnant, will there be any risks? Could insufficient blood supply lead to excessive blood loss and danger?
Thank you for your patient response!

Kandi, 20~29 year old female. Ask Date: 2006/11/25

Dr. Xu Junzheng reply Obstetrics and Gynecology

1.
Patients with polycystic ovary syndrome (PCOS) who are able to conceive are indeed more likely to have a normal menstrual cycle.

2.
Polycystic ovary syndrome occurs when the ovaries are occupied by abnormal cysts, preventing normal ovulation.

3.
The function of the uterus is solely to accommodate a baby.

4.
24-48 hours.

5.
There is no direct relationship.

6.
No.

7.
If a patient is positive for both surface antigen and e antigen, the baby should receive immunoglobulin within 24 hours of birth.

8.
Caution is advised during the second pregnancy.
Thank you!

Reply Date: 2006/11/25

More Info

Understanding irregular menstruation can be complex, especially when it is associated with conditions like polycystic ovary syndrome (PCOS) and uterine dysfunction. Let’s break down your questions and concerns based on the information provided.

1. Can my menstruation be treated?
Irregular menstruation can often be managed, but the effectiveness of treatment varies from person to person. Since you have been diagnosed with PCOS, it is essential to understand that this condition can lead to irregular periods due to hormonal imbalances. Treatment options may include hormonal therapies, lifestyle changes (like diet and exercise), and medications to induce menstruation. Your doctor’s suggestion to conceive may stem from the idea that pregnancy can sometimes help regulate menstrual cycles, but this is not a guaranteed solution. It’s crucial to have ongoing discussions with your healthcare provider about the best treatment plan for your specific situation.

2. What is polycystic ovary syndrome (PCOS), and what are its effects?
PCOS is a hormonal disorder characterized by irregular menstrual cycles, excess androgen levels, and polycystic ovaries. It can lead to various symptoms, including weight gain, acne, excessive hair growth, and fertility issues. The condition can also increase the risk of developing diabetes and cardiovascular diseases. While PCOS is a chronic condition, many women manage it successfully with lifestyle changes and medical treatment.

3. What is uterine dysfunction?
Uterine dysfunction refers to abnormal functioning of the uterus, which can affect menstrual cycles and fertility. This term may encompass various conditions, including hormonal imbalances or structural issues within the uterus. If your doctor mentioned this, it might be worth discussing further to understand how it specifically relates to your situation.

4. How long does ovulation medication stay in the body?
The duration that ovulation medications remain in the body can vary depending on the specific medication used. Generally, medications like Clomiphene citrate (Clomid) are taken for a short period (usually five days) and can stimulate ovulation within that cycle. The effects on ovulation may last longer, but the medication itself is typically cleared from the body within a few days after stopping.

5. Is the decreasing menstrual flow due to long-term medication use?
Long-term use of hormonal medications can indeed affect menstrual flow. Some women may experience lighter periods or even amenorrhea (absence of menstruation) as a side effect. It’s essential to monitor these changes and discuss them with your healthcare provider to determine if adjustments to your treatment plan are necessary.

6. Will not having surgery or hospitalization prevent fallopian tube blockage?
While surgery can sometimes lead to scarring or complications that may affect the fallopian tubes, not having surgery does not guarantee that the tubes will remain open. Factors such as infections, endometriosis, and other medical conditions can also contribute to blockages. Regular check-ups and monitoring are essential for assessing reproductive health.

7. What are the implications of being a hepatitis B carrier during pregnancy?
Being a hepatitis B carrier can pose risks during pregnancy, including the potential for transmitting the virus to the baby. It is crucial to work closely with your healthcare provider to manage your condition during pregnancy. Antiviral medications may be recommended, and your baby will likely receive vaccinations and immunoglobulin after birth to reduce the risk of infection.

8. Is being O-negative a concern during pregnancy?
Being O-negative means you are Rh-negative, which can pose risks during pregnancy if the baby is Rh-positive. This situation can lead to Rh incompatibility, where the mother’s body may produce antibodies against the baby’s blood cells. However, this can be managed with an injection of Rh immunoglobulin (RhoGAM) during pregnancy and after delivery to prevent complications.

In conclusion, managing irregular menstruation and associated conditions like PCOS requires a comprehensive approach involving medical treatment, lifestyle changes, and regular monitoring. It’s essential to maintain open communication with your healthcare provider to address your concerns and develop a personalized treatment plan.

Similar Q&A

Understanding Irregular Menstruation: Causes, Treatment, and Fertility Concerns

Hello Dr. Jan, I would like to ask you about my menstrual cycle. Since high school and now while studying in a vocational program, my menstrual cycle has been irregular. My periods either come early or I experience prolonged bleeding for a month. What could be the underlying ca...

Dr. Zhan Deqin reply Obstetrics and Gynecology
There are many reasons for irregular menstruation in young women, such as abnormal lifestyle and diet, weight loss, and medications. Sometimes it can be due to anovulation or hormonal imbalances. If anovulation is the case, it may affect the chances of conception. It is recommend...

Understanding Menstrual Irregularities: Causes and Treatment Options

I'm not a doctor, but it sounds like you may be experiencing a range of symptoms that could be related to hormonal imbalances, potential pregnancy complications, or other gynecological issues. The fatigue and excessive sleepiness you described, along with the changes in your...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used to make a determination. There are many factors that can influence the menstrual cycle or cause intermenstrual bleeding, such as age, environment, lifestyle, stres...

Understanding Irregular Menstrual Cycles: Causes, Treatments, and Costs

1. Irregular menstruation with prolonged bleeding lasting for a year and presenting with brown discharge could indicate the presence of a tumor. 2. Treatment options may include surgery or medication, depending on the diagnosis. 3. There are various types of surgical procedure...

Dr. Lin Manying reply Obstetrics and Gynecology
Abnormal menstruation requires a visit to the outpatient clinic to determine whether it is due to organic lesions or functional issues. Initially, medication treatment should be the primary approach, and one should not panic unnecessarily.

Understanding Irregular Menstruation: Causes and Solutions for Women

Hello! Since my second year of graduate school, I've noticed that my menstrual cycle has become increasingly irregular. The delays have been getting longer, and recently, my period has been over a month late. My cycles were quite regular since menarche, almost once a month. ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the regularity of menstrual periods can be influenced by various factors such as physiological and psychological stress, lifestyle, emotions, diet, and age. If you feel that stress is a contributing factor, it is advisable to seek ways to alleviate it. The coloration of th...