What should I do if I have menstrual disorders during adolescence?

Some girls tend to have their periods once every few months after their menarche, while some girls may have long periods, such as a period lasting more than ten days. These may be symptoms of menstrual disorders and should be treated by a doctor in time. Because some people experience infertility due to menstrual disorders. So, what should we do about menstrual disorders during adolescence?

If adolescent girls experience menstrual disorders after menarche, they should seek medical attention promptly. If organic lesions of the reproductive system or systemic diseases such as the blood system are ruled out, the patient can be treated as adolescent functional uterine bleeding. The purpose of treatment is mainly to stop bleeding and adjust the menstrual cycle. Generally, sequential estrogen and progesterone therapy is used to restore endocrine regulation of normal menstruation.

If polycystic ovary syndrome is confirmed, in addition to understanding the patient's reproductive hormones, ovulation function, ovarian morphology, etc., it is necessary to understand the patient's sugar and lipid metabolism (including oral glucose tolerance test, insulin release test, and blood lipid test).

Treatment begins with changing lifestyle habits. Many patients with PCOS are obese. After reducing weight through dietary adjustments and appropriate increase in exercise, the ovulation function of some patients can recover or improve on their own. The second is drug treatment, the purpose of which is to adjust the menstrual cycle and avoid the risk of endometrial lesions due to long-term anovulation of the ovaries; restore ovarian function and solve the patient's reproductive needs in adulthood. If insulin resistance exists, even if the patient's blood sugar is currently normal, appropriate treatment (such as insulin sensitizers) should be given to improve the patient's insulin sensitivity, which is also effective for restoring ovarian function.

If a girl has symptoms of menstrual disorders during puberty, she must seek medical attention promptly. However, some girls do not know that this is a menstrual disorder, and some girls are embarrassed to say that they have a menstrual disorder. This requires mothers to pay more attention to their children, and seek timely treatment after discovering the problem, so as not to affect the child's fertility in the future.