What should I do if I go on a diet to lose weight and my period doesn't come

Dieting to lose weight can lead to menstrual disorders, which can be improved through adjusting dietary structure, supplementing nutrition, moderate exercise, psychological counseling, medication treatment, and other methods. Menstruation may be related to factors such as excessive dieting, rapid weight loss, malnutrition, hormonal imbalances, and ovarian dysfunction.

1. Adjust dietary structure

Gradually restore daily calorie intake to 1.1-1.3 times basal metabolism, increase high-quality protein such as eggs and fish, and ensure daily intake of 50-100 grams of carbohydrates. It is recommended to adopt a three meal two-point system, and to consume nuts such as walnuts and black sesame in moderation. It is prohibited to consume low calorie foods that are consistently below 800 calories.

2. Supplement nutrition

Focus on supplementing 15-20 milligrams of iron per day, which can be obtained through foods such as pig liver and spinach; 14 milligrams of vitamin E per day can be consumed from almonds and sunflower seeds; If necessary, supplement with compound vitamin tablets. When hemoglobin is below 110 grams per liter, nutritional intervention should be carried out under the guidance of a doctor.

3. Moderate Exercise

Engage in 3-5 low-intensity aerobic exercises per week, such as brisk walking for 30 minutes or yoga, with heart rate controlled below 60% of maximum heart rate during exercise. Avoid high-frequency high-intensity exercise and pause vigorous exercise when body fat percentage is below 17%.

4. Psychological counseling

When there are body image disorders or eating disorders, cognitive behavioral therapy can be used to improve erroneous weight loss concepts. It is recommended to record daily diet and emotional changes, and seek professional psychological help if necessary to alleviate anxiety caused by menstrual disorders.

5. Medication Treatment

If amenorrhea lasts for more than 3 months, medical attention is required. Hormonal drugs such as estradiol valerate tablets and progesterone capsules may be used to regulate the menstrual cycle. Patients with polycystic ovary syndrome can use spironolactone tablets in combination, while those with thyroid dysfunction need to supplement with levothyroxine sodium tablets. During the recovery period, monitor the weight change no more than 2 kilograms per month and maintain 7-8 hours of sleep per day. It is recommended to consume animal liver 2-3 times a week to supplement heme iron, and avoid vigorous exercise during menstruation. If menstruation does not return to regular within 6 months, gynecological ultrasound and six tests of sex hormones should be performed to rule out organic diseases.