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
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What is amenorrhea?

In clinical practice, amenorrhea is an external manifestation caused by pathological and physiological changes in women's bodies, resulting from various diseases. Generally, the most typical symptom of amenorrhea is the absence of menstruation or the cessation of periods. There are many causes of amenorrhea, which may include exposure to cold, fatigue, emotional stress, bacterial infections, and disruptions in hormone secretion caused by medications or diseases. If amenorrhea occurs, it can be managed through diet by avoiding picky and unbalanced eating, and consciously increasing the intake of high-protein and high-calorie foods, which helps in hormone production and conversion, maintaining normal menstruation. Additionally, if dietary adjustments prove ineffective, it is important to seek prompt medical examination and treatment at a hospital.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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.

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Written by Jia Rui
Obstetrics and Gynecology
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What to eat to induce menstruation when it has stopped?

In cases of amenorrhea, it is advised to regularly drink fresh soy milk, which contains soy isoflavones, supplementing plant-based estrogens. Additionally, consuming royal jelly, which contains animal estrogens, as well as eating black beans, peanuts, and onions can be beneficial. Clinically, the most typical presentation of amenorrhea is the absence of menstruation or a sudden cessation of menstrual periods. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, medications, diseases, bacterial infections, hormonal imbalances, and an increase in male hormones, all of which can lead to amenorrhea. Dietary adjustments should be noted, and if there is no improvement, it is necessary to visit a hospital for relevant examinations.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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How to treat amenorrhea?

Amenorrhea is generally defined in medicine as a condition where menstruation stops for three consecutive months. There are physiological and pathological types of amenorrhea. Physiological amenorrhea, such as not menstruating during breastfeeding or pregnancy, is considered normal and does not require medication for treatment. Pathological amenorrhea usually occurs when someone who normally has regular periods suddenly stops menstruating for three months. In such cases, it is essential to visit a hospital for relevant examinations and then treat accordingly based on the results. Common issues include ovarian dysfunction, premature ovarian failure, and elevated prolactin levels, all of which can lead to amenorrhea. Treatment should be chosen based on the examination results.