Amenorrhea: Symptoms and Causes

Written by Jia Rui
Obstetrics and Gynecology
Updated on January 12, 2025
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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 Jia Rui
Obstetrics and Gynecology
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What does amenorrhea mean?

The term "amenorrhea" that we often talk about refers to the sudden cessation of menstruation after it has occurred, stopping for more than three to six months. The normal age for menopause is around fifty years old, and a deviation of 3-5 years earlier or later is considered normal. Young women experiencing amenorrhea need to have their sex hormones tested, and then the menstrual cycle can be adjusted based on the results. There are many causes of amenorrhea, such as endocrine disorders, uterine diseases, emotional fluctuations, medication influences, gynecological inflammation, excessive fatigue, and severe mental stress, all of which can lead to amenorrhea. It is important to timely use dietary therapy and medication to treat it.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Women generally experience menopause at what age?

The average age of menopause for women in our country is generally around 49 years old. Before menopause, some people may experience irregular periods for about two to three years, a period also known as the perimenopause. Some may have periods once every two or three months until they gradually cease, reaching menopause. Others might experience increased menstrual flow, prolonged periods, and shorter cycles. Thus, generally, women around 48 or 49 years of age, if experiencing irregular periods, should consider that they are nearing menopause and should pay attention to menopausal care. After menopause at the age of 49, some may experience symptoms of menopause. Therefore, the average age of menopause in our country is around 49 years old.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How to regulate amenorrhea for one year?

If a woman under 40 experiences amenorrhea for a year, it is advisable to check the six sex hormones. If there is an increase in luteinizing hormone and follicle-stimulating hormone, it indicates menopause. However, menopause before 40 is called premature ovarian failure, and hormone replacement therapy is needed. This treatment can delay aging in women and improve post-menopausal symptoms. If menopause occurs after the age of 40, it is a natural state. Every woman will go through menopause, and if menopausal symptoms occur, hormone replacement therapy can also be used.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Is there leukorrhea after menopause?

After menopause, the amount of vaginal discharge will significantly decrease, but a small amount of discharge may still be present, which is a normal phenomenon. Due to the significant reduction or disappearance of estrogen secretion after menopause, the secretions from the vagina and cervix will significantly decrease, thus reducing vaginal discharge. However, if there is an increase in discharge, a change to a yellow color, and itching of the vulva, it could be due to vaginitis, which requires prompt medical examination and treatment since vaginitis is relatively common in the elderly.

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Written by Zhao Xiao Dong
Obstetrics and Gynecology
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How to quickly induce menstruation when it has stopped.

Women with amenorrhea should first undergo a blood and urine HCG test to rule out the possibility of pregnancy. After excluding pregnancy, it is generally necessary to check the female sex hormone levels and thyroid function. Sometimes, specific diseases such as polycystic ovary syndrome, hyperprolactinemia, and premature ovarian failure can cause amenorrhea, and these specific diseases should be treated accordingly to induce menstruation. For polycystic ovary syndrome, treatment often involves the use of oral contraceptives to induce menstruation; for hyperprolactinemia, treatment typically involves the use of bromocriptine; for premature ovarian failure, estrogen-progestogen cycle replacement is usually prescribed. (Please use medications under the guidance of a doctor.)