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.

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Women generally experience menopause at what age?

The average age of menopause for women in our country is generally around 49 years old. Before menopause, some people may experience irregular periods for about two to three years, a period also known as the perimenopause. Some may have periods once every two or three months until they gradually cease, reaching menopause. Others might experience increased menstrual flow, prolonged periods, and shorter cycles. Thus, generally, women around 48 or 49 years of age, if experiencing irregular periods, should consider that they are nearing menopause and should pay attention to menopausal care. After menopause at the age of 49, some may experience symptoms of menopause. Therefore, the average age of menopause in our country is around 49 years old.

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Written by Jia Rui
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Amenorrhea: Symptoms and Causes

Clinically, the most typical manifestation of amenorrhea is the absence of menstruation or the cessation of menstruation. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, bacterial infections, medications, and diseases, all of which can lead to hormonal imbalances and increased levels of male hormones. Amenorrhea can be divided into primary amenorrhea and secondary amenorrhea. Primary amenorrhea is less common and is often caused by genetic and congenital developmental defects. Secondary amenorrhea has a higher incidence than primary amenorrhea, and active treatment is required in such cases.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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.

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home-news-image
Written by Huang Shuai
Obstetrics and Gynecology
1min 8sec home-news-image

Will there be ovulation during amenorrhea?

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.

doctor image
home-news-image
Written by Jia Rui
Obstetrics and Gynecology
45sec home-news-image

Will amenorrhea cause nipple pain?

Women experiencing amenorrhea may also feel pain in their nipples, which is generally considered a normal, temporary physiological reaction. This occurs because, prior to the cessation of menstruation, the secretion rate of endogenous estrogen decreases, and the breast tissue cannot quickly adapt to this change, leading to breast pain. If the pain persists or becomes severe, it is also important to watch out for pathological diseases, such as breast hyperplasia and other conditions. Do not squeeze the breasts with your hands, avoid wearing tight bras, and timely breast ultrasound examinations should be conducted to guide treatment based on the results.