How to regulate amenorrhea to restore menstruation

Written by Hou Jie
Obstetrics and Gynecology
Updated on October 23, 2024
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In the treatment of amenorrhea, systemic treatment plays an important role. It includes active treatment of systemic diseases, improving the overall quality of the body, and then providing adequate nutrition to maintain standard weight. In cases of exercise-induced amenorrhea, it is appropriate to reduce the amount of exercise. For amenorrhea caused by stress and psychological reasons, patient psychological therapy should be conducted to eliminate mental tension and anxiety. If the amenorrhea is caused by pathological conditions like tumors or polycystic ovary syndrome, then etiological treatment should be given. Once the cause of the disease is identified, appropriate hormonal treatment should be provided to supplement insufficient hormones in the body and counteract excess, aiming to regulate and treat amenorrhea.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 18sec home-news-image

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

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 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 Jia Rui
Obstetrics and Gynecology
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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.

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

Is amenorrhea a disease?

Amenorrhea is first divided into physiological or pathological. If it is physiological, it generally is not a major issue, but pathological cases must be treated symptomatically. For physiological amenorrhea, such as not menstruating for three months during the breastfeeding period, this is normal. It's mainly influenced by the secretion of prolactin from the ovaries, so it’s possible not to have menstruation during breastfeeding, and this is not a problem. Moreover, some people use medications, such as those used to treat endometriosis, which can cause amenorrhea; this type of amenorrhea is normal, and menstruation usually resumes after stopping the medication. Then there is pathological amenorrhea, typically seen with severe conditions like uterine endometrium or intrauterine adhesions, which can also cause a lack of menstruation. Additionally, ovarian secretory dysfunction, certain endocrine disorders, or premature ovarian failure, can all lead to amenorrhea, requiring related medical examinations and symptomatic treatment in a hospital.