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Amenorrhea
Is it normal to have amenorrhea without vaginal discharge?
The absence of vaginal discharge during amenorrhea is generally a normal phenomenon, indicating that the amenorrhea is caused by a reduction in estrogen and diminished ovarian function. This condition is commonly seen in endocrine disorders such as hyperprolactinemia or premature ovarian failure. It is necessary to examine the six female sex hormones and thyroid function to confirm the diagnosis. If the examination reveals elevated prolactin levels, diagnosing hyperprolactinemia, a head CT scan is generally required. If a pituitary tumor is present, surgical treatment should be conducted. If no pituitary tumor is found, treatment with a specific medication like bromocriptine is given, after which menstruation and normal vaginal discharge will resume. Another scenario is seen in cases of premature ovarian failure, which also leads to amenorrhea and a reduction in vaginal discharge. For premature ovarian failure, a common approach is to use cyclical hormone replacement therapy to restore menstruation and vaginal discharge.
How to distinguish between pregnancy and amenorrhea
If your menstrual cycles have been regular up to now and there is a delay in your current cycle, the first thing to do is to rule out the possibility of pregnancy. There is a significant difference between a normal pregnancy and amenorrhea, and pregnancy can generally be detected through early pregnancy test strips if the menstrual cycle is irregular. If the test strip is positive, it is generally considered likely that you are pregnant, and it is not a case of amenorrhea. If the test shows a negative result, then it is necessary to check the thickness of the endometrium. If the endometrium is thin, the likelihood of amenorrhea significantly increases.
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.
What are the symptoms before amenorrhea?
Before menopause, women will experience some symptoms of menopause, which manifest as menstrual disorders, including excessive menstruation, insufficient menstruation, early menstruation, or missing periods for two to three months. The main symptoms of menopause include irritability, easy annoyance, hot flashes, night sweats, and poor sleep at night. These are all caused by menopause. At this time, hormone replacement therapy can be used. Hormone replacement therapy is very effective for treating menopausal syndrome, delaying aging in women, and protecting women's bones and heart.
What to do about amenorrhea and how to regulate it?
Amenorrhea is a common gynecological disease, and there are many causes that can lead to amenorrhea. Hormonal tests and ultrasound examinations can be conducted to identify the causes, and treatment can be carried out accordingly. There are many reasons for amenorrhea among women, such as poor lifestyle habits, excessive dieting, malnutrition, deficiency of kidney qi, lack of essence and blood, etc. Amenorrhea can easily cause disorders in the ovulation cycle, and in severe cases, it may lead to non-proliferative changes in the endometrium and lack of follicular development, ultimately leading to female infertility. It is suggested to drink some Chinese herbal medicine to regulate the condition of amenorrhea.
How can amenorrhea be treated to restore menstruation?
In the treatment of amenorrhea, systemic treatment plays an important role. It includes actively treating systemic diseases, improving the overall quality of the body, providing sufficient nutrition, and maintaining standard body weight. If the patient is overweight, it is recommended to exercise to lose weight; if it is exercise-induced amenorrhea, it is appropriate to reduce the amount of exercise; if the amenorrhea is due to stress or psychological factors, then patient and psychological treatment should be conducted to eliminate mental tension and anxiety; if the amenorrhea is caused by tumors, polycystic ovary syndrome, then treatment should be based on the specific cause.
How to regulate amenorrhea for three months?
It has been three months since the last menstrual period, and if pregnancy has been definitively ruled out, then there must be a serious endocrine issue. It is necessary to identify the cause before treatment can be administered. Not all cases of amenorrhea are treated with the same medication. First, an ultrasound examination should be performed to assess the condition of the pelvic cavity and the uterine cavity, including the thickness of the endometrium and the volume of the uterus. Then, after inducing menstruation or if the endometrium is particularly thin, a blood test should be performed to check levels of thyroid hormones, sex hormones, etc. If there is an issue with weight gain, tests for insulin and blood sugar levels should also be conducted, and medication should be chosen based on the results of these tests.
What should a woman do if she experiences amenorrhea?
The number of follicles in a woman's ovaries is fixed from birth. From birth to adolescence, the follicles begin to develop, and ovulation occurs each month. Once all the follicles are depleted, ovarian function declines, leading to menopause. When a woman experiences menopause after the age of 40, it is considered a normal occurrence, and estrogen replacement therapy can be used at this time. However, a physical examination must be conducted before using these medications, as they are not suitable for everyone. If menopausal symptoms are particularly severe, sequential estrogen therapy can be applied, which may result in the return of menstrual periods, but this does not indicate a recovery of ovarian function; it is due to the medication. If the symptoms during menopause are not very severe, observational treatment may also be considered.
How to induce menstruation after six months of amenorrhea?
If women are in the perimenopausal period and experience amenorrhea, it is not advised to use medication to induce menstruation. Artificially prolonging menstruation can sometimes lead to breast diseases, so excessive intervention is not recommended. This is a natural law of nature that we need to follow. For women who are not in menopause but experience amenorrhea, it is necessary to perform ultrasound and test six sex hormones. Sometimes, it may also be necessary to examine the pituitary gland to identify the specific cause of amenorrhea. Based on the specific cause, systematic treatment to regulate menstruation is required, and sometimes medication is necessary. If there is a pituitary tumor, surgical treatment might also be needed. (The use of medication should be conducted under the guidance of a professional doctor.)
Where is moxibustion most effective for amenorrhea?
For women experiencing amenorrhea due to various reasons, it is advisable to undergo a systematic examination at a hospital. This is because the regulation of the menstrual cycle is a complex process involving the hypothalamic-pituitary-ovarian axis and cerebral cortex, as well as factors related to mental health, body fluids, and environmental aspects. Only after identifying the cause can a doctor arrange a suitable treatment plan. You may also consider traditional Chinese medicine, which has unique efficacy and insights regarding amenorrhea. When opting for moxibustion, it should be performed under the guidance of a professional traditional Chinese medicine therapist. It is not advisable to go to small clinics or beauty salons for this treatment, as it involves specific acupuncture points. Whether to choose the Guanchi point or the Sanyinjiao point should be determined by a professional practitioner. If you have further questions, please consult a doctor at the hospital.