This is the 3727th article of Da Medical Care
After examination in the outpatient clinic, it was found that some women with regular menstruation did not ovulate and gave them progestin therapy, at which time patients often asked: My menstrual rules, why do I need treatment?
It is generally believed that menstruation is regular, and there will be ovulation. But not absolutely, that there is no ovulation, does menstrual regularity still need treatment?
First of all, let's understand how "menstruation" is formed?
The formation of menstruation is actually the process of follicle development. The ovaries have a batch of follicles that develop every month, but usually only 1 follicle can mature and ovulate, and if there is no conception after ovulation, menstruation is formed. After that, the next cycle begins, choosing a new dominant follicle to grow and grow, and the cycle repeats. Bounded by ovulation, the follicle stage before ovulation is the main secretion of estrogen, and the post-ovulation is the luteal phase, which secretes estrogen and progesterone. Estrogen makes women exquisite and radiant, and can also protect the cardiovascular, bone and nervous system, so estrogen is the protector of women's beauty and health! For women is an indispensable and especially important sex hormone; and progesterone can assist estrogen to complete reproductive function, but also to prevent estrogen overproliferation of the endometrium, to avoid the occurrence of endometrial cancer, so it is also called the umbrella of the uterus!
Clinically, in people with a normal menstrual cycle, not all of them have ovulation, of which 3% to 5% are anovulatory. So menstrual regularity, anovulation, need treatment? The answer is yes! Because if there is no ovulation, there is a lack of progesterone, and there is a lack of an umbrella for the uterus, and endometrial lesions will occur at this time. "What is missing, what to supplement", at this time, progesterone supplementation is needed.
Is progesterone supplementation scary?
Speaking of hormones, many people often talk about discoloration, like seeing poison, lest they avoid it, because everyone thinks that hormones can cause fat and can bring many side effects. But if you think about it, the hormones we think of in our minds are actually the adrenocortical hormones that were commonly used before, such as dexamethasone, prednisone, etc., which can indeed lead to obesity, leading to osteoporosis, necrosis of the femoral head, etc. But there are more than two hundred hormones that have been determined in the human body, which are manufactured and secreted by the human body itself, and are necessary for life, such as thyroxine, calcitonin, female hormones, growth hormones, insulin, prostaglandins, etc., and the hormones we use to regulate menstruation are female hormones: estrogen and progesterone. A woman to want to menstrual regularity, must have these 2 hormones coordinated secretion, if for some reason ovulation abnormalities, then the first will lack of progesterone, progesterone can be called the "umbrella" of the uterus, long-term lack, not only will lead to a variety of menstrual disorders such as: frequent menstruation, menstrual thinning, dripping bleeding, less menstrual volume, more menstruation, etc., and eventually lead to the occurrence of endometrial cancer!
Therefore, even if you have a regular menstrual period on the surface, but through the examination found that there is no ovulation, you need to supplement progesterone regularly to protect the endometrium and prevent the occurrence of endometrial lesions.
Director of the Department of Reproductive Endocrinology, Taiyuan Maternal and Child Health Hospital
Li Yan Chief Physician