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What are the reasons for missing a period?

Sep 30, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, "da yi ma" refers to menstruation. Absence of menstruation may be caused by endocrine disorders, pregnancy, premature ovarian failure, hypothyroidism, polycystic ovary syndrome (PCOS), and other conditions. If you experience any discomfort, please seek medical attention promptly and receive symptomatic treatment under the guidance of a qualified physician. Since the causes of missed periods are complex and varied, it is important to maintain a healthy lifestyle in daily life.

Generally, "da yi ma" refers to menstruation. Absence of menstruation may be caused by endocrine disorders, pregnancy, premature ovarian insufficiency, hypothyroidism, polycystic ovary syndrome (PCOS), and other conditions. If discomfort occurs, seek medical attention promptly and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Endocrine Disorders

Prolonged mental stress, anxiety, or depression may affect hypothalamic function, leading to endocrine imbalances that disrupt the menstrual cycle and cause prolonged absence of menstruation. In daily life, it's important to regulate emotions effectively. Practices such as yoga and meditation, which promote relaxation, can be beneficial.

2. Pregnancy

During pregnancy, hormonal levels in women undergo significant changes, especially increased progesterone, which prevents the shedding of the uterine lining and results in amenorrhea (cessation of menstruation). This is a normal physiological phenomenon. It is recommended to visit a hospital promptly to confirm pregnancy and follow medical advice.

3. Premature Ovarian Insufficiency

Viral infections may lead to ovarian inflammation or ovarian abscesses, damaging ovarian tissue and causing premature ovarian insufficiency, resulting in decreased estrogen levels and infrequent menstruation or amenorrhea. Symptoms may also include fatigue, lower back and abdominal pain, etc. Under a doctor’s guidance, medications such as calcium gluconate oral solution, Kuntai capsules, and vitamin D2 soft capsules may be used for treatment.

4. Hypothyroidism

Long-term iodine excess or deficiency can lead to reduced thyroid function, causing insufficient secretion of thyroid hormones, affecting overall metabolism—including the reproductive system—and leading to menstrual irregularities or even amenorrhea. Additional symptoms may include cold intolerance and fatigue. Follow medical advice for treatment with medications such as thyroid tablets, calcium carbonate D3 tablets, and levothyroxine sodium tablets.

5. Polycystic Ovary Syndrome (PCOS)

Obese women have more adipose tissue, which may interfere with the normal secretion and metabolism of various hormones—including estrogen, progesterone, and insulin—thereby impairing ovarian function and leading to PCOS. Symptoms may also include acne and hirsutism (excessive hair growth). Under medical supervision, medications such as dydrogesterone tablets, clomiphene citrate tablets, and cyproterone acetate tablets may be prescribed for treatment.

The causes of missed periods are complex and varied. In daily life, it's important to maintain a healthy lifestyle, including balanced nutrition, regular sleep patterns, and avoiding staying up late. Additionally, engaging in moderate aerobic exercise regularly can help improve the body's immunity and overall resistance.

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