What should I do if my menstrual flow is reduced due to excessive weight loss

Excessive weight loss leading to reduced menstrual flow can be improved through adjusting dietary structure, moderate weight gain, supplementing nutrition, emotional regulation, and seeking medical examination. Reduced menstrual flow is often associated with factors such as malnutrition, endocrine disorders, low weight, and psychological stress caused by excessive dieting.

1. Adjust dietary structure

Increase daily intake of high-quality protein such as eggs and fish, and supplement healthy fats such as nuts and avocados in moderation. Gradually restore the intake of staple foods, choose whole grains such as brown rice and oats, and pair them with dark vegetables and iron rich foods such as spinach and animal liver. Avoid long-term monoculture or complete withdrawal of carbohydrates.

2. Moderate weight gain

Gradually restore the body mass index to 18.5 or above, and it is advisable to gain 0.5 kilograms per week. By combining strength training with aerobic exercise, we can increase muscle mass and avoid relying solely on high calorie snacks for weight gain. Regularly monitor weight changes to prevent excessive weight fluctuations from exacerbating endocrine disorders in the short term.

3. Nutritional supplementation

Targeted supplementation of iron supplements such as ferrous succinate tablets, vitamin B supplements such as multivitamin B tablets, and vitamin D drops. It can eat bean products containing phytoestrogen, and use traditional Chinese patent medicines and simple preparations such as Bazhen Yimu capsule under the guidance of a doctor when necessary. Self medication of hormone drugs is prohibited.

4. Emotional regulation

Relieves weight anxiety and establishes positive body image through mindfulness meditation. Record a non weight related self-worth list and seek psychological counseling if necessary. Join a support group to reduce feelings of isolation and gradually quit extreme weight loss behaviors such as vomiting and excessive exercise.

5. Medical examination

If there is no improvement for 3 months, six sex hormones, thyroid function, and pelvic ultrasound should be checked. Exclude diseases such as polycystic ovary syndrome and hypothalamic amenorrhea. If diagnosed with estrogen deficiency, short-term use of estrogen and progesterone preparations such as estradiol valerate tablets/progesterone capsules may be necessary to establish an artificial cycle. During the recovery period, avoid vigorous exercise or dieting again, and ensure 7 hours of sleep per day. Weekly monitoring of basal body temperature and ovulation recovery. After the menstrual flow returns to normal, it is still necessary to maintain a balanced diet for more than 6 months and have regular gynecological follow-up. If you experience discomfort such as headache or changes in vision, seek medical attention immediately to rule out pituitary lesions. Long term excessive weight loss may cause irreversible damage to reproductive function, and early intervention is recommended.