How to regulate irregular menstruation
May 08, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, possible causes of menstrual irregularities may include excessive stress, abnormal weight, polycystic ovary syndrome (PCOS), hypothyroidism, and hyperprolactinemia. Treatment can be carried out under a doctor's guidance through general measures, medication, and other therapies. In daily life, women should pay attention to stress management and maintaining a healthy weight.
In general, possible causes of menstrual irregularities may include excessive stress, abnormal weight, polycystic ovary syndrome (PCOS), hypothyroidism, and hyperprolactinemia. Menstrual irregularities can be managed through general therapy, medication, and other treatments under the guidance of a physician. If symptoms of menstrual irregularities worsen or persist, timely medical consultation and treatment are recommended. Detailed explanations are as follows:
1. Excessive Stress
Prolonged mental stress can affect the function of the hypothalamic-pituitary-ovarian axis. When stress increases, this system may be disrupted, leading to irregular menstrual cycles. In daily life, it is important to learn effective stress management techniques, such as engaging in physical exercise, meditation, and yoga to relax both mind and body, while maintaining good sleep habits and ensuring adequate rest.
2. Abnormal Weight
Abnormal fluctuations in body weight can affect body fat percentage, thereby influencing the production and metabolism of estrogen. Estrogen is a key factor in maintaining regular menstrual cycles; therefore, abnormal weight may lead to menstrual irregularities. It is recommended to control weight through a balanced diet and regular exercise, avoiding extreme dieting or overeating.
3. Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome may be an endocrine and metabolic disorder caused by multiple factors, including genetic and environmental influences. Due to excessive production of androgens by the ovaries, normal estrogen production is suppressed, leading to irregular menstrual cycles. It is often accompanied by symptoms such as infertility, acne, hirsutism, and obesity. Treatment options may include medications such as ethinylestradiol and cyproterone acetate tablets, compound norethindrone tablets, and spironolactone tablets, under the guidance of a physician.
4. Hypothyroidism
Hypothyroidism may be associated with various factors such as autoimmune diseases, radiation therapy, and medications. Hypothyroidism can interfere with the function of the hypothalamic-pituitary-ovarian axis, thereby causing menstrual irregularities. Other possible symptoms include excessive sweating, weight loss, and dry skin. Treatment options may include medications such as methimazole tablets, levothyroxine sodium tablets, and prednisone acetate tablets, following a physician's recommendations.
5. Hyperprolactinemia
Hyperprolactinemia is commonly caused by pituitary tumors, medications, and other factors. Elevated prolactin levels suppress the secretion of gonadotropin-releasing hormone from the hypothalamus, thereby reducing the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which can lead to menstrual irregularities. Associated symptoms may include amenorrhea, decreased libido, and galactorrhea. Treatment options may include medications such as vitamin B6 tablets, levodopa tablets, and clomiphene citrate capsules, under the guidance of a physician.
In daily life, women should pay attention to stress management, maintain a healthy body weight, and undergo regular gynecological examinations, including sex hormone level testing and ultrasound scans, to promptly detect and address any abnormalities.
