What medical examination is needed if menstruation does not occur

It is usually recommended to go to the gynecology department if menstruation does not occur, or to the endocrinology or reproductive medicine department depending on the specific situation. Menstruation delay may be caused by pregnancy, endocrine disorders, polycystic ovary syndrome, ovarian dysfunction, or intrauterine adhesions.

1. Gynecology:

Gynecology is the most routine department for handling menstrual disorders. Doctors will first rule out the possibility of pregnancy through consultation and examination, followed by gynecological ultrasound examination to observe endometrial thickness, ovarian morphology, and the presence of organic lesions such as uterine fibroids and ovarian cysts. If there is suspicion of intrauterine adhesions or endometrial damage, hysteroscopy may be recommended. Gynecologists will make preliminary judgments on the reasons for menstrual disorders based on ultrasound and hormone levels, and develop follow-up treatment plans.

2. Endocrinology:

If menstrual bleeding is accompanied by symptoms such as acne, hirsutism, weight gain, or hair loss, it may indicate the presence of endocrine metabolic problems, such as polycystic ovary syndrome, thyroid dysfunction, or hyperprolactinemia. The endocrinology department will focus on testing six types of sex hormones, thyroid function, blood glucose, and insulin levels. Doctors may prescribe medications such as ethinylestradiol and cyproterone acetate tablets, metformin tablets, or bromocriptine tablets to regulate hormone levels and improve menstrual cycles.

3. Reproductive Medicine:

For women who have fertility needs and have long-term menstrual periods, reproductive medicine is a more suitable choice. The department will systematically evaluate ovarian reserve function and determine ovarian age through indicators such as anti Mullerian hormone and follicle stimulating hormone. If diagnosed with premature ovarian failure or ovulation disorders, the doctor will provide ovulation induction treatment, such as using letrozole tablets or clomiphene citrate capsules, and guide the timing of pregnancy preparation. If necessary, assisted reproductive technology will be recommended.

4. Traditional Chinese Medicine:

From the perspective of overall regulation, traditional Chinese medicine believes that menstrual disorders are related to qi and blood deficiency, liver and kidney insufficiency, or cold coagulation and blood stasis. Traditional Chinese medicine doctors will conduct syndrome differentiation through tongue diagnosis and pulse diagnosis, and use traditional Chinese medicine decoction, such as Siwu Decoction, Wenjing Decoction, etc., together with acupuncture and moxibustion or moxibustion at Guanyuan, Sanyinjiao and other acupoints to regulate the body. Traditional Chinese medicine has a relatively long treatment cycle and is suitable for women with infrequent menstruation and no organic lesions caused by stress, dieting, or chronic diseases.

5. Neurology:

If menstrual bleeding is not accompanied by severe headaches, blurred vision, or nausea and vomiting, it is necessary to be alert to intracranial lesions such as pituitary tumors. The neurology department will arrange head magnetic resonance imaging or CT examination to exclude space occupying lesions such as pituitary microadenomas. After diagnosis, it may be necessary to use drugs such as bromocriptine tablets or cabergoline tablets to control tumor growth. Once the primary disease is controlled, the menstrual cycle can usually gradually recover.

It is recommended to seek medical attention as early as possible on the 3-7th day after menstruation, and avoid self medication such as progesterone before seeking medical treatment. Pay attention to maintaining a regular daily routine, avoid excessive dieting or vigorous exercise, and record changes in basal body temperature to help doctors determine ovulation status. In terms of diet, it is advisable to increase the intake of soy products, green leafy vegetables, and whole grains, and reduce the consumption of raw, cold, and spicy foods. If accompanied by emotional fluctuations or insomnia, you can try relaxation methods such as yoga and meditation, and seek psychological help if necessary.