How to regulate amenorrhea with no vaginal discharge?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on January 30, 2025
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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.

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Can amenorrhea undergo IVF?

There are many causes of amenorrhea in women in our country, with the most common causes being hypothalamic disorders, pituitary disorders, and ovarian disorders. Other endocrine diseases, such as congenital adrenal hyperplasia and thyroid dysfunction, can also lead to ovulation disorders and the symptoms of amenorrhea. If amenorrhea occurs and there is a desire for childbirth, it is advisable to seek timely medical treatment at a professional reproductive hospital. This allows for systematic regulation of menstruation and comprehensive treatment based on the specific causes of amenorrhea, aiming to possibly enhance fertility and improve our infertile condition.

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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 Zhang Xiu Rong
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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.

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Why do breasts swell and hurt after menstruation stops?

If menstruation has ceased and breast pain and swelling occur, it is first necessary to determine how long it has been since the last menstrual period. If the expected period is delayed and breast discomfort arises, a visit to the hospital for a pregnancy test is recommended. For women of childbearing age who are not pregnant, it is considered normal for periods to shift slightly, typically by about a week. Medically, if menstruation has stopped for three consecutive months, it is referred to as amenorrhea. If there has been no menstruation for three months accompanied by breast pain and swelling, and pregnancy is ruled out, a breast ultrasound should be performed to check for any organic breast diseases. If no organic diseases are found, the possibility of galactorrhea-amenorrhea syndrome cannot be dismissed, and further medical tests and appropriate treatment at a hospital are necessary.

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What to eat to induce menstruation when it has stopped?

In cases of amenorrhea, it is advised to regularly drink fresh soy milk, which contains soy isoflavones, supplementing plant-based estrogens. Additionally, consuming royal jelly, which contains animal estrogens, as well as eating black beans, peanuts, and onions can be beneficial. Clinically, the most typical presentation of amenorrhea is the absence of menstruation or a sudden cessation of menstrual periods. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, medications, diseases, bacterial infections, hormonal imbalances, and an increase in male hormones, all of which can lead to amenorrhea. Dietary adjustments should be noted, and if there is no improvement, it is necessary to visit a hospital for relevant examinations.