Can you get pregnant after menopause?

Written by Zhao Li Li
Obstetrics
Updated on January 23, 2025
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If menstruation has already ceased, it is generally not possible to become pregnant. This is because after menopause, ovarian function has essentially declined, and there is no regular secretion of estrogen and progesterone. Thus, there is no development and presence of mature follicles, making pregnancy highly unlikely. Currently, symptoms can only be addressed by utilizing assisted reproductive technologies. If menstruation ceases before the typical age of menopause, early ovarian failure should be considered, and appropriate diagnostic and therapeutic measures should be taken.

Other Voices

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Written by Jia Rui
Obstetrics and Gynecology
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Which department should I go to for amenorrhea?

Amenorrhea is recommended to consult a gynecologist, as it belongs to gynecological diseases. It is considered physiological for those over the age of fifty-five, and some may experience physiological amenorrhea between the ages of forty-five and fifty-five. If it occurs under the age of forty-five, the cause should be investigated, and relevant examinations should be conducted. Amenorrhea is related to daily excessive mental stress, malnutrition, excessive dieting, smoking, drinking, and mental pressure. If amenorrhea occurs, one should go to the hospital to exclude diseases such as ovarian disorders.

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Written by Hou Jie
Obstetrics and Gynecology
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How to regulate amenorrhea to restore menstruation

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 Li Shun Hua
Obstetrics and Gynecology
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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 Jia Rui
Obstetrics and Gynecology
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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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.