What should I do if my period has been absent for three months?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 22, 2024
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If a woman does not menstruate for three months, medically this is called amenorrhea. If she is relatively young, it is essential to visit a hospital for relevant examinations. Generally, an ultrasound is conducted first to check the thickness of the endometrial lining and to assess if there are any organic diseases affecting the uterus or ovaries. If the endometrium appears thin and there are no organic diseases, further examinations should include tests for six sex hormones, which are indicators of ovarian function. If the results suggest premature ovarian failure or some endocrine disorders, treatment can be tailored according to these findings. Moreover, if the woman has reached menopausal age and indeed has not menstruated for three months, this condition is considered amenorrhea, which might be physiological. Hence, if an older woman experiences amenorrhea, it is likely true menopausal amenorrhea. Additionally, if a woman who normally has regular menstrual cycles does not menstruate for three months, pregnancy cannot be ruled out, and it is crucial to conduct relevant tests for early pregnancy.

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Written by Jia Rui
Obstetrics and Gynecology
1min 10sec home-news-image

Can amenorrhea be treated effectively?

Generally, amenorrhea can be managed effectively. Clinically, the most typical symptoms of amenorrhea are the absence of menstruation and the cessation of menstrual periods. There are many causes of amenorrhea, which may include exposure to cold, fatigue, emotional stress, bacterial infections, medications, and diseases, all leading to hormonal imbalances in the body. Dietary adjustments can be made to manage amenorrhea, such as avoiding picky and imbalanced eating, consciously increasing the intake of high-protein and high-calorie foods, which is beneficial for hormone production and conversion, and maintaining regular menstruation. It is also important to keep a cheerful mood to avoid disturbances in the flow of energy and blood, leading to irregular menstruation, as well as maintaining reasonable work and rest schedules, avoiding staying up late, and ensuring that the body's biological clock functions normally.

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Written by Li Li Jie
Obstetrics and Gynecology
1min 2sec home-news-image

Is it normal for a 42-year-old to have menopause?

Menopause at age 42 is abnormal, as the menopause age for most women in our country is between 45 and 55 years old. The age at menopause is mainly related to genetics, nutritional status, climate, immune function, and other factors. Menopause at 42 suggests that ovarian function has already declined, and women often experience symptoms such as low mood, poor sleep quality, osteoporosis, and cardiovascular diseases. For this situation, it is recommended that women visit a reputable hospital for a diagnosis as soon as possible. A typical examination includes the sex hormone panel to check for ovarian function decline. If there is indeed a decline in ovarian function, hormone medications can be used under a doctor’s guidance to enhance resistance. It is crucial to avoid staying up late and maintain a good mood.

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Written by Jia Rui
Obstetrics and Gynecology
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What tests are required for amenorrhea?

Amenorrhea is one of the most common gynecological diseases, and it usually requires an ultrasound and a sex hormone panel test. Testing the sex hormone panel should be done by drawing blood on an empty stomach in the morning, three to five days after the onset of menstruation, for more accurate results. After identifying the cause, treatment should be targeted accordingly. There are many reasons for amenorrhea in women, such as poor lifestyle habits, excessive fasting for weight loss, malnutrition, and kidney deficiency, all of which can cause this condition. Amenorrhea can lead to disturbances in the ovulation cycle and, in severe cases, prevent the development of follicles, causing infertility in women.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to treat amenorrhea infertility?

Amenorrhea-induced infertility first requires identifying the underlying cause of the amenorrhea. If it is due to intrauterine adhesions, a hysteroscopic adhesion lysis can be performed. After surgery, promoting the development of the endometrium can normalize uterine lining growth and serve a therapeutic function. If the amenorrhea is caused by ovarian secretory dysfunction, adjusting ovarian function can help, as conditions like amenorrhea-galactorrhea syndrome and polycystic ovary syndrome are caused by amenorrhea and lead to infertility, in which case hormonal regulation can treat infertility. Amenorrhea caused by premature ovarian failure can pose significant treatment challenges if the deterioration is severe. Thus, determining the specific cause of amenorrhea is essential for targeted treatment.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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.