Excessive obesity in girls may affect their menstrual cycle, leading to menstrual irregularities or even amenorrhea. Excessive obesity is often associated with endocrine disorders, insulin resistance, polycystic ovary syndrome, and other factors. Excessive obesity can lead to an excess of adipose tissue in the body, and adipocytes can secrete estrogen. Excessive estrogen can interfere with the normal function of the hypothalamic pituitary ovarian axis, thereby affecting the menstrual cycle. Adipose tissue also produces inflammatory factors, which may further disrupt the balance of the endocrine system. Obese women are more prone to insulin resistance, as elevated insulin levels stimulate the ovaries to produce more androgens. Excessive androgens can inhibit follicular development, leading to ovulation disorders. Polycystic ovary syndrome is more common in obese women, characterized by infrequent or absent menstruation. In rare cases, excessive obesity may not directly affect the menstrual cycle, but this usually occurs in women who are overweight but have not yet reached severe obesity levels. The endocrine system of these women may still be able to maintain relative balance, and their menstrual cycle may also be relatively regular. However, even so, long-term obesity may still have potential impacts on reproductive health, increasing the risk of future menstrual problems.
It is recommended that obese women control their weight through a healthy diet and moderate exercise. They should reduce their intake of high sugar and high-fat foods, increase the proportion of vegetables, fruits, and whole grains in their diet, and choose aerobic exercises such as brisk walking and swimming for exercise. They should also engage in at least 150 minutes of moderate intensity exercise per week. If menstrual irregularities have already occurred, timely medical examination should be sought. Doctors may recommend hormone level testing, ultrasound examination, etc., and develop personalized weight loss and treatment plans based on the specific situation. Maintaining a healthy weight not only helps with menstrual regularity, but also reduces the risk of various chronic diseases.
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