Moderator: Teacher Zhang, we know that the college entrance examination is coming soon. During this last time, many parents, especially parents of girls, will be very concerned about what is special about girls when they take the college entrance examination. Do we need to pay attention to the problem, or do we need to pay attention to it?

Zhang Jianping: Yes, there are some issues that should be paid attention to. For example, as parents, we particularly hope that our children will be mentally and physically healthy during this period. A very important one for girls is menstruation in terms of physical condition. It can come normally, or don't cause endocrine disorders due to mental stress caused by college entrance examination. For girls, the most obvious problem is menstrual irregularity. Many parents especially want to hope that their children will not have menstruation during the college entrance examination, or have menstruation early, and will not have menstrual cramps during the college entrance examination. They often have various ideas or requests, and they often come to ask. Gynecologists, in fact, we have some methods to relieve these mental tensions, or to allow menstruation to occur according to normal endocrine regulation.

Moderator: Menstruation is indeed a problem that many girls are very worried about when they take the college entrance examination, and their parents are also very worried. From an expert's perspective, how do you think you view this issue? Woolen cloth?

Zhang Jianping: First of all, girls enter puberty at the age of 12 or 13. One of the signs of puberty is menstruation, so menstruation itself is a normal physiological process, and it begins every month with the onset of puberty. Menstruation, also called ovarian ovulation, and vaginal bleeding are a very normal process. Women who have entered puberty should not treat it as a very scary or scary thing. Some people call me unlucky. This mantra cannot be considered an unlucky thing in itself. It is a normal process and a normal thing, so there is no need to treat it as an abnormal thing.

By the time of the college entrance examination, we generally have young women aged 16, 17, or 18. At this time, the ovarian function is already in a stable period, and her menstruation should be relatively regular, which is her ovulation. It's very regular, and menstruation is also very regular. Just follow the normal cycle. There is no need to break the ovulation pattern just because the college entrance examination is coming, so that the menstruation does not come or is postponed. There is no need to have such excessive anxiety. . Some people say that I don’t think I want to have my period during the college entrance examination because I need to change sanitary napkins and go to the bathroom midway, in case these things affect my performance in the college entrance examination. In fact, it is not necessary in theory. If you have to artificially prevent this kind of menstruation, medically speaking, it does not mean that there is no way. In this case, before the college entrance examination, we said that menstruation should come once a month under normal circumstances. , but the onset of menstruation is controlled by the cerebral cortex. That is to say, when a person's cerebral cortex is tense, menstruation will not come as normal, and his ovulation will not occur once a month, and may not occur once every three months. This can lead to the absence of menstruation, and this situation does exist. Some people say that I originally ovulated and had my period once a month, but this month I may have had my period, but not for half a month. That means that my ovulation is not normal, and it just doesn’t come when it’s supposed to come. , there is such a situation. In addition, it always occurs when it shouldn't. Due to the mental stress caused by the college entrance examination, the ovary directed by the cerebral cortex does not ovulate normally, and menstrual disorders occur. A situation like this requires some medical treatment. Host: When you mentioned this, one of our netizens mentioned this issue when we left a message in advance, saying that my daughter is 18 years old and will take the college entrance examination this year. She only started menstruating when she was 16 years old. It has never been normal. She usually has two or three menstrual periods. She only comes once every three months. She is going to take the college entrance examination this year. She hasn't had her period since entering 2008. She doesn't know why.

Zhang Jianping: This is what I just mentioned. Compared with today’s teenage women, her period was relatively late at the age of 16, which means that her ovarian development process was relatively late. For girls, it is a little late. There is a gradual process in the development of the ovaries. It does not mean that as soon as I get my period, my ovaries will start ovulating normally every month. No, it is a gradual transition process. This transition process is that I may ovulate once a month, and then I will have a period once a month, or I may ovulate once every two or three months, and then she will have a period every two or three months. Generally speaking, as long as there is no menstruation for more than 3 months, as a parent, you must not take it lightly. This does not mean that she simply has irregular menstruation. The parent just mentioned that she has not had menstruation for nearly a year, which is a disease.

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Host: For example, January should come, but if it doesn’t come, you should pay attention to it in April. , or should we pay attention when it comes to May?

Zhang Jianping: As long as she doesn’t come for three months, she must go to the hospital to see a doctor.

Moderator: I think this may not only be for some students taking the college entrance examination, but also for most young women.

Zhang Jianping: Yes, it means no menstruation for three months, which is clinically called amenorrhea. Of course, we are mainly talking about college entrance examination students today. Amenorrhea can occur in women of any age, such as those over 50 years old. Amenorrhea may lead to menopause, which is another physiological process. But girls like us before the college entrance examination must go to the hospital to see a doctor as long as they don't menstruate for three months.

Moderator: We cannot delay the treatment of some diseases because of the college entrance examination.

Zhang Jianping: Yes, because the cerebral cortex causes temporary disorder, it can be adjusted. If the disorder is long-term, or ovulation is suppressed, it may cause lifelong endocrine problems, so we must not take it lightly. I have seen many such examples. After passing the college entrance examination, I was admitted to a key university. As a result, I did not have my period or menstruation for three years. When I checked this time, it was because the pattern of menstruation is from the cerebral cortex to the lower cortex. The thalamus is a medical term. It is a complete regulatory axis. After long-term suppression of the cerebral cortex and hypothalamus, it is no longer called amenorrhea, but menopause. In this case, it is quite difficult to perform conditioning treatment.

Host: It means that the absence of menstruation has lasted for a long time, and it has become physiologically morbid. She needs to see a doctor.

Zhang Jianping: Yes, then you must go to the hospital to find out the reason for not having menstruation. This is for people who cannot have menstruation.

Host: Our netizen mentioned that her daughter has never had her period since 2008.

Zhang Jianping: From January to now, on May 22 this year, he should have taken his child to the hospital for treatment, regardless of whether he took the exam or not.

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