How should amenorrhea be managed?

Written by Li Shun Hua

Obstetrics and Gynecology

Updated on January 08, 2025

00:00

00:00

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.

Other Voices

home-news-image

Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 1sec

home-news-image

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.

home-news-image

Written by Jia Rui

Obstetrics and Gynecology

59sec

home-news-image

Is amenorrhea related to the kidneys?

Generally, amenorrhea is not greatly related to the kidneys. The most typical clinical presentation of amenorrhea is the absence or cessation of menstrual periods. There are many reasons that can cause amenorrhea, such as being chilled, fatigue, emotions, bacterial infections, medications, and diseases that lead to hormonal imbalances in the body. If amenorrhea occurs, it can be managed through dietary adjustments. Eating a balanced diet, without being picky or selective, consciously increasing intake of high-protein and high-calorie foods can be beneficial for hormone production and conversion, maintaining normal menstruation. Additionally, it is important to keep a cheerful mood to avoid causing disruptions in qi and blood. If dietary adjustments are insufficient, it is necessary to visit a hospital to check the underlying causes.

home-news-image

Written by Li Shun Hua

Obstetrics and Gynecology

49sec

home-news-image

How to regulate amenorrhea with no vaginal discharge?

Amenorrhea without vaginal discharge is a normal physiological phenomenon. Amenorrhea occurs due to ovarian failure, which results in no normal ovulation and a significant decrease in estrogen levels, or very low levels of estrogen. Consequently, the secretions from the cervix and vagina decrease, leading to an absence of vaginal discharge—a normal occurrence that does not require intervention. However, if there is an increase in vaginal discharge after amenorrhea, or if the discharge is abnormally colored and accompanied by itching of the vulva, it could indicate vaginitis, which would require prompt examination and treatment. Therefore, the absence of vaginal discharge following amenorrhea does not require intervention.

home-news-image

Written by Zhang Xiu Rong

Obstetrics and Gynecology

54sec

home-news-image

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.

home-news-image

Written by Jia Rui

Obstetrics and Gynecology

1min 14sec

home-news-image

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.