We all know that once a woman becomes pregnant, her menstruation will no longer come, and when it comes again, it is basically after she has given birth. Generally speaking, a woman's menstruation will return to normal one or two months after giving birth. However, many friends in life have said that they have given birth to children and their children are already one year old but have not had their period, which is very worrying. What exactly is the cause of this? There are two main reasons for irregular menstruation: 1. Caused by neuroendocrine dysfunction: mainly due to unstable or defective function of the posterior brain-pituitary-ovarian axis, that is, menstrual disorder. 2. Caused by organic diseases or drugs, including local inflammation, tumors and developmental abnormalities of the reproductive organs, malnutrition; intracranial diseases; other endocrine dysfunctions such as thyroid and adrenal cortex dysfunction, diabetes, Sheehan's disease, etc.; liver diseases; blood diseases, etc. Menstrual irregularities may occur in women who use drugs to treat mental illnesses, endocrine preparations, or intrauterine devices for contraception. Certain occupations, such as long-distance runners, are prone to amenorrhea. In addition, some abnormal bleeding during pregnancy is often mistaken for menstrual irregularities. In clinical diagnosis of neuroendocrine dysfunctional menstrual disorders, the above-mentioned organic causes must be excluded. treat 1. Treat the cause For pathological causes, corresponding treatment is needed according to the specific cause. 2. Stop bleeding and correct anemia It is caused by long menstrual period and heavy menstrual flow. In addition to general hemostatic measures, hormones or curettage may be used to stop bleeding as appropriate. Give oral blood-enriching drugs or infusion treatment. 3. Adjustment cycle Estrogen and progesterone alone or in combination can be used for cyclical treatment, or traditional Chinese medicine can be used for treatment. 4. Infertility Dysfunction of one or more links in the hypothalamus-pituitary-ovarian axis causes anovulation, which is one of the pathophysiological bases of menstrual disorders and one of the causes of infertility. It is a problem that many patients urgently need to solve. Some patients may ovulate but have insufficient luteal function, which can also cause infertility. Different treatments are selected according to the patient's condition to improve ovarian function or replace part of the function of the pituitary gland and hypothalamus. 5. Reduce the occurrence of menstrual disorders Before puberty, children should learn and understand some health knowledge, have a correct understanding of the physiological phenomenon of menstruation, and eliminate fear and tension. During menstruation, you should keep warm and avoid cold stimulation; pay attention to rest, reduce fatigue, strengthen nutrition, and enhance physical fitness; you should try to control drastic mood swings, avoid strong mental stimulation, and keep a happy mood. |
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