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I gave birth last July 8, 2024. My baby was dead in my womb so I just need to gave birth to her. After these, my period came back after 5 weeks. After I have my periods for two consecutive months, it suddenly stopped. My body is going to menstrual phases but there is no menstrual bleeding. I take many pregnancy tests but it all came back negative.

Age: 94Gender: femaleLanguage: EnglishDate: 6/30/2025

🩺Professional Medical Assessment

📋Medical Analysis

Professional Assessment: The primary differential diagnoses include post-pregnancy amenorrhea, Asherman's syndrome (particularly following pregnancy loss), hypothalamic amenorrhea, or early-onset premature ovarian insufficiency, with Asherman's syndrome being of particular concern given the recent pregnancy loss and D&C if performed. The pathophysiological mechanism likely involves potential endometrial damage or hormonal dysregulation of the hypothalamic-pituitary-ovarian axis, which is common in young women following pregnancy loss and can affect menstrual regulation. Given the patient's young age (23) and recent pregnancy loss, additional testing should include serum hormone levels (FSH, LH, estradiol, prolactin), thyroid function tests, and a hysteroscopy to evaluate for potential intrauterine adhesions or endometrial damage. A comprehensive gynecological evaluation is strongly indicated, particularly since the symptoms occurred following pregnancy loss, and early intervention can significantly improve outcomes for fertility preservation in young women.

⚠️Urgency Level

Urgency Level Assessment: This case represents MODERATE urgency requiring medical evaluation within 1-2 weeks, given the patient's young age (23) and recent pregnancy loss combined with menstrual irregularities. While the negative pregnancy tests reduce immediate emergency concerns, the combination of pregnancy loss trauma and subsequent amenorrhea (absence of periods) requires proper medical workup to rule out post-pregnancy complications, hormonal imbalances, or underlying endocrine disorders. Red flags would include severe abdominal pain, heavy bleeding, fever above 101.5°F, or signs of depression/anxiety related to the pregnancy loss - any of these symptoms would elevate this to high urgency requiring immediate emergency care. The patient should schedule an appointment with their OB/GYN or primary care physician within 2 weeks for evaluation, hormone testing, and potential referral to an endocrinologist if needed.

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💊Treatment Recommendations

Take a combination of Vitex (chasteberry) supplement 400mg daily and Evening Primrose Oil 1000mg daily to help regulate your hormonal balance and menstrual cycle after pregnancy loss. Additionally, incorporate iron-rich foods and a prenatal vitamin containing folate to support your body's recovery and hormone regulation. Practice stress-reduction techniques like yoga or meditation, as emotional stress can affect menstrual cycles, and ensure you're maintaining a balanced diet with adequate protein intake. For additional treatment recommendations, ask in the chat.

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📝Medical History

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