Why hasn't my menstruation resumed after a fall injury?

Sep 13, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Absence of menstruation after a fall may be caused by factors such as emotional stress, malnutrition, pregnancy, polycystic ovary syndrome (PCOS), or hypothyroidism. It could also be related to conditions like premature ovarian insufficiency or intrauterine adhesions. If menstruation is significantly delayed, it is advisable to promptly visit a hospital for evaluation to identify the underlying cause and receive appropriate treatment.

Generally speaking, the absence of menstruation after a fall may be caused by factors such as mental stress, malnutrition, pregnancy, polycystic ovary syndrome (PCOS), hypothyroidism, etc. If menstruation is delayed for an extended period, it is advisable to seek timely medical evaluation to identify the underlying cause and receive appropriate treatment. Specific analyses are as follows:

1. Mental Stress

Patients may experience fright following injury, along with physical pain, which can easily disrupt the body's endocrine system, leading to menstrual irregularities. It is recommended to maintain a positive mood, communicate frequently with family and friends, and relax by listening to soothing music. Under a doctor's guidance, medications such as Yimucao Granules or Xiaoyao Pills may also be taken for treatment.

2. Malnutrition

If patients develop symptoms such as loss of appetite or anorexia after injury, they may experience weight loss and malnutrition, which can lead to menstrual irregularities or delays. It is recommended that patients enhance their nutrition during recovery, consuming more high-protein foods such as eggs and milk to promote faster healing.

3. Pregnancy

If the patient has had sexual intercourse before the injury without effective contraception, pregnancy may occur. Therefore, if menstruation is delayed after the injury—especially if accompanied by symptoms like nausea and vomiting—the patient should visit a hospital for blood HCG testing, abdominal ultrasound, and other examinations to confirm whether pregnancy has occurred.

4. Polycystic Ovary Syndrome (PCOS)

PCOS can cause menstrual disorders, resulting in abnormal or delayed menstruation. Patients may take medications such as dydrogesterone tablets or progesterone soft capsules under medical supervision.

5. Hypothyroidism

Caused by insufficient thyroid hormone secretion or iodine deficiency, hypothyroidism may lead to symptoms such as fatigue and memory decline, as well as delayed or absent menstruation. Patients can take medications such as levothyroxine sodium tablets or thyroid tablets under a doctor’s guidance.

In addition, delayed menstruation after a fall may also be associated with conditions such as premature ovarian insufficiency or intrauterine adhesions. If other discomforts arise, prompt medical attention is recommended to avoid delaying diagnosis and treatment.


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