What does amenorrhea mean?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 08, 2024
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The term "amenorrhea" that we often talk about refers to the sudden cessation of menstruation after it has occurred, stopping for more than three to six months. The normal age for menopause is around fifty years old, and a deviation of 3-5 years earlier or later is considered normal. Young women experiencing amenorrhea need to have their sex hormones tested, and then the menstrual cycle can be adjusted based on the results. There are many causes of amenorrhea, such as endocrine disorders, uterine diseases, emotional fluctuations, medication influences, gynecological inflammation, excessive fatigue, and severe mental stress, all of which can lead to amenorrhea. It is important to timely use dietary therapy and medication to treat it.

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Written by Jia Rui
Obstetrics and Gynecology
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What are the symptoms of amenorrhea?

The most typical clinical presentation of amenorrhea is the absence of menstruation and cessation of menstrual periods. There are many causes of amenorrhea, such as exposure to cold, fatigue, medications, diseases, bacterial infections, and poor emotional states, all of which can lead to hormonal imbalances and result in amenorrhea. Additionally, amenorrhea may occur after sustained physical activity, which is related to the individual's psychological state, stress response level, and a decline in physical condition. If there is a weight loss of 10%-15%, or a 30% decrease in physical condition, amenorrhea may occur. If amenorrhea occurs, dietary adjustments can be made, such as avoiding picky and partial eating, avoiding intense exercise, and consciously increasing the intake of high-protein, high-calorie foods. This is beneficial for the production and transformation of hormones and maintaining normal menstruation. If symptoms do not improve, medical attention should be sought promptly.

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Written by Hou Jie
Obstetrics and Gynecology
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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.)

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can anterior pelvic tilt cause amenorrhea?

Anterior pelvic tilt is a condition observed in some women where the tilt of the pelvis becomes abnormal. In most cases, anterior pelvic tilt does not cause amenorrhea. If a patient experiences amenorrhea, it is advised that they seek consultation at the gynecology department of their local hospital to perform relevant examinations and tests to determine the cause of the amenorrhea. Clinically, there are various potential causes of amenorrhea that need to be ruled out one by one. Then, based on the identified cause of the amenorrhea, a targeted treatment plan can be developed. Generally, anterior pelvic tilt does not affect amenorrhea.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Causes of Amenorrhea

Amenorrhea can be physiological or pathological. Physiological amenorrhea, for example, occurs during the breastfeeding period when menstruation is irregular for three consecutive months; this is considered normal. Also, some patients may experience temporary amenorrhea due to medications used to treat conditions such as endometriosis, which is also normal. Pathological amenorrhea, commonly seen in clinical settings, includes conditions such as ovarian dysfunction, severe intrauterine adhesions, premature ovarian failure, or other endocrine disorders, which can result in the absence of menstruation. It is essential for individuals experiencing amenorrhea to undergo relevant medical examinations to identify the cause, followed by appropriate treatments based on the findings.

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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.