Will amenorrhea cause nipple pain?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 04, 2024
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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.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Is there leukorrhea after menopause?

After menopause, the amount of vaginal discharge will significantly decrease, but a small amount of discharge may still be present, which is a normal phenomenon. Due to the significant reduction or disappearance of estrogen secretion after menopause, the secretions from the vagina and cervix will significantly decrease, thus reducing vaginal discharge. However, if there is an increase in discharge, a change to a yellow color, and itching of the vulva, it could be due to vaginitis, which requires prompt medical examination and treatment since vaginitis is relatively common in the elderly.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What are the harms of premature menopause?

The normal age of menopause for women in our country is around 49 years old. If menopause occurs during this period, it's generally not a big issue. However, if menopause occurs prematurely, it typically indicates a decline in ovarian function or early ovarian failure. This can cause disruptions in marital relations for women, and if menopause happens too early, it can lead to premature symptoms of menopause. Symptoms such as hot flashes, sweating, irritability can occur, and in severe cases, it may lead to diseases related to blood pressure and cardiovascular health. Therefore, premature menopause does have an impact on health. If these symptoms appear prematurely, it is crucial to go to the hospital for appropriate adjustment and treatment.

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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 Zhao Xiao Dong
Obstetrics and Gynecology
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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.