How to treat amenorrhea infertility?

Written by Zhang Xiu Rong

Obstetrics and Gynecology

Updated on September 01, 2024

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Amenorrhea-induced infertility first requires identifying the underlying cause of the amenorrhea. If it is due to intrauterine adhesions, a hysteroscopic adhesion lysis can be performed. After surgery, promoting the development of the endometrium can normalize uterine lining growth and serve a therapeutic function. If the amenorrhea is caused by ovarian secretory dysfunction, adjusting ovarian function can help, as conditions like amenorrhea-galactorrhea syndrome and polycystic ovary syndrome are caused by amenorrhea and lead to infertility, in which case hormonal regulation can treat infertility. Amenorrhea caused by premature ovarian failure can pose significant treatment challenges if the deterioration is severe. Thus, determining the specific cause of amenorrhea is essential for targeted treatment.

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Written by Jia Rui

Obstetrics and Gynecology

1min 14sec

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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

57sec

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How to regulate amenorrhea to restore menstruation

In the treatment of amenorrhea, systemic treatment plays an important role. It includes active treatment of systemic diseases, improving the overall quality of the body, and then providing adequate nutrition to maintain standard weight. In cases of exercise-induced amenorrhea, it is appropriate to reduce the amount of exercise. For amenorrhea caused by stress and psychological reasons, patient psychological therapy should be conducted to eliminate mental tension and anxiety. If the amenorrhea is caused by pathological conditions like tumors or polycystic ovary syndrome, then etiological treatment should be given. Once the cause of the disease is identified, appropriate hormonal treatment should be provided to supplement insufficient hormones in the body and counteract excess, aiming to regulate and treat amenorrhea.

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Written by Jia Rui

Obstetrics and Gynecology

38sec

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How to deal with amenorrhea and nausea?

If nausea occurs after menopause, it's important to determine whether the menopause is physiological or pathological. Generally, menopause after the age of 55 is considered physiological, but if it occurs before the age of 55, the cause of the menopause should be considered, such as ovarian diseases. If nausea occurs with menopause, attention should be paid to adjusting the diet, eating more fresh vegetables and fruits, and consuming vitamin- and protein-rich foods. Maintain a pleasant mood, avoid spicy and greasy foods, and avoid fatigue.

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Written by Zhao Xiao Dong

Obstetrics and Gynecology

1min 11sec

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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.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 13sec

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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.