Dieting to lose weight and delaying menstruation may be related to malnutrition, hormonal imbalances, excessive mental stress, rapid weight loss, ovarian dysfunction, and other reasons. It can be improved by adjusting dietary structure, supplementing nutrition, reducing stress, restoring weight, medication treatment, and other methods.

1. Malnutrition
Excessive dieting can lead to a lack of nutrients such as protein, iron, and vitamins in the body, affecting the normal growth and shedding of the endometrium. It is recommended to gradually increase the intake of high-quality protein such as eggs and fish, combined with iron supplements such as spinach and pork liver. If necessary, follow the doctor's advice to take iron supplements such as compound ferrous sulfate folate tablets and ferrous succinate tablets.
2. Hormonal level disorder
Low body fat percentage can inhibit hypothalamic secretion of gonadotropins, leading to a decrease in estrogen levels. There may be a decrease in menstrual flow accompanied by hot flashes and sweating. Extreme dieting should be stopped, and moderate intake of nuts and soy products should be ensured daily. In severe cases, hormone drugs such as estradiol valerate tablets and progesterone capsules can be used according to medical advice.
3. Excessive mental stress
During weight loss, excessive attention to weight may lead to anxiety, which inhibits the release of gonadotropins through neuroendocrine pathways. It shows that insomnia is accompanied by delayed menstruation. It is suggested to relieve stress through mindfulness meditation. If necessary, use Wuling capsule, Jieyu Anshen Granule and other traditional Chinese patent medicines and simple preparations under the guidance of a psychologist.

4. Rapid weight loss
A short-term weight loss of more than 10% may trigger a physical stress response and cause temporary amenorrhea. It is necessary to maintain a healthy weight range, lose no more than 0.5 kilograms per week, and increase intake of whole grains and high-quality fats such as oats and avocados appropriately.
5. Ovarian dysfunction
Long term extreme dieting may lead to premature ovarian failure, resulting in persistent amenorrhea and vaginal dryness. It is necessary to improve the six examinations of sex hormones. After the diagnosis is confirmed, drugs such as estradiol and didroxyprogesterone tablets, Kuntai capsules, etc. can be used according to the doctor's advice, together with acupuncture and moxibustion to regulate the Ren meridian points.

It is recommended to consume no less than 1500 calories per day, keep carbohydrates at least 50% of total calories, and engage in moderate intensity exercise such as brisk walking or swimming for 30 minutes three times a week. If there is still no recovery after 3 menstrual cycles after adjusting diet, it is necessary to seek timely gynecological examination for pelvic ultrasound and hormone testing to rule out organic diseases such as polycystic ovary syndrome. During menstruation, pay attention to keeping the abdomen warm, avoid eating raw and cold foods, and ensure 7-8 hours of sleep per day.
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