Will there be ovulation during amenorrhea?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on January 10, 2025
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In our professional field, amenorrhea is actually defined as not having menstruation for over six months, or missing three menstrual cycles—this is what we professionally regard as amenorrhea. What most people talk about as amenorrhea refers to the situation where menstruation does not occur when expected. In cases where menstruation does not occur when expected, is ovulation still possible? In fact, it is possible to ovulate under such circumstances.

Generally speaking, for a woman with regular menstrual cycles, if she does not get her period when expected, the first considerations are usually pregnancy or an anovulatory menstrual cycle, both of which are common occurrences. Of course, for women with irregular menstrual cycles, or even for those with regular cycles who do not get their period when expected, it is possible that ovulation may be delayed.

How long can it be delayed? The timing can sometimes be uncertain, it is entirely possible for ovulation to occur sometime after the expected menstrual date. Therefore, during the period after the expected time of menstruation, it is indeed entirely possible for ovulation to occur.

Other Voices

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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 Hou Jie
Obstetrics and Gynecology
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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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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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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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 Li Shun Hua
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The Harm of Amenorrhea

In women, if amenorrhea occurs prematurely, it might indicate premature ovarian failure, which significantly impacts female reproductive function. This is because estrogen and progesterone, which are unique sex hormones in females, when depleted, can lead to atrophy of the reproductive organs, decreased libido, osteoporosis, and even early onset of heart disease. Therefore, hormone replacement therapy (HRT) can be applied in cases of premature ovarian failure. If amenorrhea occurs after the age of 40, it is considered normal and is a common phenomenon that every woman experiences. If there are no contraindications to medication, HRT can also be used, which can significantly slow down the aging process in women, improve their quality of life, and visibly enhance their well-being.