Can amenorrhea undergo IVF?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 09, 2024
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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
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Amenorrhea: Symptoms and Causes

Clinically, the most typical manifestation of amenorrhea is the absence of menstruation or the cessation of menstruation. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, bacterial infections, medications, and diseases, all of which can lead to hormonal imbalances and increased levels of male hormones. Amenorrhea can be divided into primary amenorrhea and secondary amenorrhea. Primary amenorrhea is less common and is often caused by genetic and congenital developmental defects. Secondary amenorrhea has a higher incidence than primary amenorrhea, and active treatment is required in such cases.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 13sec home-news-image

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 Li Shun Hua
Obstetrics and Gynecology
48sec home-news-image

How should amenorrhea be managed?

Menopause occurring after the age of 40 is a normal physiological phenomenon. If menopause occurs before the age of 40, it indicates premature ovarian failure. Women with premature ovarian failure will exhibit symptoms of menopause and also experience accelerated aging. At this stage, if there are no contraindications to medication, hormone replacement therapy can be used. Hormone replacement therapy is also applicable if menopause occurs after the age of 40. For those over 40 who still wish to menstruate, sequential estrogen-progestogen therapy can be applied. If menstruation is not desired, estrogen supplementation therapy can be used.

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Written by Huang Shuai
Obstetrics and Gynecology
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Is it normal to have menopause at 41?

Menopause occurring at 41 years old generally warrants a visit to the hospital for an examination. Normally, the average age for menopause is between 45 and 55 years old. Menopause before 40 years old, due to ovarian function issues, is usually considered premature ovarian failure. At 41, it is important to investigate the causes of menopause. The most common cause is typically a decline or failure in ovarian function. After ovarian function decline at 41, if there are no contraindications, hormone replacement therapy is usually recommended. Besides the ovaries, certain diseases of the uterus can also lead to menopause. Therefore, menopause at 41 is not considered normal.

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Written by Shen Li Wen
Obstetrics and Gynecology
1min 4sec home-news-image

Can you get pregnant with menstrual disorder and amenorrhea?

When women experience menstrual disorders such as amenorrhea, most of them are unable to conceive. This is because the ovarian secretion of hormones is abnormal during this period, and there is an ovulation obstacle, usually resulting in the absence of eggs. Thus, sexual intercourse during this time generally does not lead to conception. However, a very small number of women may experience occasional ovulation during amenorrhea. If they have normal sexual relations without contraception during this time, conception could still occur. Nonetheless, many women have abnormal hormone levels during amenorrhea, so even if pregnancy occurs, the abnormal hormone levels in early pregnancy could lead to complications such as missed abortion and miscarriage. It is recommended that women who want to conceive should first undergo regular treatment to restore normal menstrual cycles and resume ovulation before actively trying to conceive.