Which department should I go to for amenorrhea?

Written by Jia Rui

Obstetrics and Gynecology

Updated on September 13, 2024

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Amenorrhea is recommended to consult a gynecologist, as it belongs to gynecological diseases. It is considered physiological for those over the age of fifty-five, and some may experience physiological amenorrhea between the ages of forty-five and fifty-five. If it occurs under the age of forty-five, the cause should be investigated, and relevant examinations should be conducted. Amenorrhea is related to daily excessive mental stress, malnutrition, excessive dieting, smoking, drinking, and mental pressure. If amenorrhea occurs, one should go to the hospital to exclude diseases such as ovarian disorders.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

54sec

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Causes of Amenorrhea

Amenorrhea can be physiological or pathological. Physiological amenorrhea, for example, occurs during the breastfeeding period when menstruation is irregular for three consecutive months; this is considered normal. Also, some patients may experience temporary amenorrhea due to medications used to treat conditions such as endometriosis, which is also normal. Pathological amenorrhea, commonly seen in clinical settings, includes conditions such as ovarian dysfunction, severe intrauterine adhesions, premature ovarian failure, or other endocrine disorders, which can result in the absence of menstruation. It is essential for individuals experiencing amenorrhea to undergo relevant medical examinations to identify the cause, followed by appropriate treatments based on the findings.

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Written by Jia Rui

Obstetrics and Gynecology

1min 14sec

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What are the symptoms of amenorrhea?

The most typical clinical presentation of amenorrhea is the absence of menstruation and cessation of menstrual periods. There are many causes of amenorrhea, such as exposure to cold, fatigue, medications, diseases, bacterial infections, and poor emotional states, all of which can lead to hormonal imbalances and result in amenorrhea. Additionally, amenorrhea may occur after sustained physical activity, which is related to the individual's psychological state, stress response level, and a decline in physical condition. If there is a weight loss of 10%-15%, or a 30% decrease in physical condition, amenorrhea may occur. If amenorrhea occurs, dietary adjustments can be made, such as avoiding picky and partial eating, avoiding intense exercise, and consciously increasing the intake of high-protein, high-calorie foods. This is beneficial for the production and transformation of hormones and maintaining normal menstruation. If symptoms do not improve, medical attention should be sought promptly.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 13sec

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Can amenorrhea undergo IVF?

Whether amenorrhea is suitable for IVF depends firstly on the cause of the amenorrhea. If the amenorrhea is due to ovarian failure, with an AMH value less than 1, indicating diminished ovarian function, IVF would not be successful in this scenario. However, if the AMH, indicating ovarian reserve, is greater than 1 and the amenorrhea is caused by hormonal imbalances, then IVF can be considered. If the amenorrhea is due to uterine adhesions, adhesion dissection can be performed. If, following the dissection, the endometrium develops well and the adhesions are treated, IVF can be considered. Moreover, if the amenorrhea is associated with conditions like galactorrhea-amenorrhea syndrome or polycystic ovarian syndrome, which are also due to hormonal imbalances, adjusting hormone levels to normal can also make IVF a viable option. Therefore, whether IVF is possible with amenorrhea depends on identifying the cause of the amenorrhea, and decisions can be made based on that.

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Written by Jia Rui

Obstetrics and Gynecology

38sec

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How to deal with amenorrhea and nausea?

If nausea occurs after menopause, it's important to determine whether the menopause is physiological or pathological. Generally, menopause after the age of 55 is considered physiological, but if it occurs before the age of 55, the cause of the menopause should be considered, such as ovarian diseases. If nausea occurs with menopause, attention should be paid to adjusting the diet, eating more fresh vegetables and fruits, and consuming vitamin- and protein-rich foods. Maintain a pleasant mood, avoid spicy and greasy foods, and avoid fatigue.

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Written by Jia Rui

Obstetrics and Gynecology

59sec

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What to eat to induce menstruation when it has stopped?

In cases of amenorrhea, it is advised to regularly drink fresh soy milk, which contains soy isoflavones, supplementing plant-based estrogens. Additionally, consuming royal jelly, which contains animal estrogens, as well as eating black beans, peanuts, and onions can be beneficial. Clinically, the most typical presentation of amenorrhea is the absence of menstruation or a sudden cessation of menstrual periods. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, medications, diseases, bacterial infections, hormonal imbalances, and an increase in male hormones, all of which can lead to amenorrhea. Dietary adjustments should be noted, and if there is no improvement, it is necessary to visit a hospital for relevant examinations.