In life, female friends are often troubled by the problem of menstruation. Many women are worried that their menstrual periods may be irregular and may cause some problems. Sometimes women may have very little menstrual flow, so we need to learn about this. Oligomenorrhea is often associated with late menstruation and is often accompanied by weight gain. If the disease occurs during adolescence and childbearing age, it may develop into amenorrhea, and if it occurs during menopause, it often leads to menopause. Methods/Steps 1. The menstrual cycle is basically normal, but the menstrual volume is significantly reduced, or even stops with a few drops. This is the key point for the diagnosis of this disease, and it is often seen in the late menstruation period. 2. Some drugs can cause oligomenorrhea, such as contraceptives, antipsychotic drugs, anti-tumor drugs, and drugs for the treatment of endometriosis (such as tamoxifen, danazol, and nemethicone). In addition, drugs such as tripterygium wilfordii tablets and bromocriptine can also cause oligomenorrhea. Detailed medical history should be inquired during clinical consultation. 3. Multiple artificial abortions or rough operations may damage the basal endometrium of the uterus or uterine adhesions, which may cause oligomenorrhea, so it is also necessary to inquire about the abortion surgery. Postpartum hemorrhage sometimes first manifests as oligomenorrhea, followed by amenorrhea. 4. Simple oligomenorrhea in anovulatory functional uterine bleeding is relatively rare and is sometimes a precursor to anovulatory amenorrhea. Polycystic ovary syndrome can also be seen in oligomenorrhea, often accompanied by late menstruation, weight gain, and then amenorrhea. Patients with premature ovarian failure also first experience oligomenorrhea and then amenorrhea. 5. For patients with scanty menstruation and late menstruation, miscarriage or ectopic pregnancy should be ruled out first. Urine, blood pregnancy tests and B-ultrasound can be used for identification. 6. If the amount of menstrual blood is too little, a blood test will usually be done to check the follicle-stimulating hormone, luteinizing hormone, estrogen, prolactin, and progesterone to determine whether the problem lies with the ovarian or pituitary hormones. Secondly, measure the basal body temperature and make a chart to observe whether ovulation has occurred or whether progesterone deficiency occurs. Ultrasound examination can also be performed to detect the thickness of the endometrium and whether ovulation has occurred. If the cervix is blocked due to uterine adhesions, a contraceptive device can be inserted after separation with a hysteroscope, followed by hormone treatment for 3 months. If it is progesterone deficiency, progesterone supplementation or ovarian treatment can be used. Relaxing and reducing stress in life can also help normal menstruation. We all know that menstruation is a normal female phenomenon, but many people do not know much about it. Generally, 30 ml of menstrual volume is too little, and 180 ml is too much. The normal amount should be 60 ml each time. This requires us to pay attention to the amount of sanitary napkins we use, and not exceed two packs per cycle. If using three packs of sanitary napkins each time is not enough and each sanitary napkin is soaked, it means that your menstrual flow is too heavy. On the contrary, if you cannot use up a pack every time during your period, it means your menstrual flow is too light and you should see a doctor as soon as possible. |
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