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 Gan Hai Ying
Obstetrics and Gynecology
1min 6sec home-news-image

Will weight decrease with amenorrhea?

Amenorrhea can lead to weight loss but it can also cause weight gain. The impact on weight varies depending on the cause of amenorrhea. If a woman experiences amenorrhea due to consistent dieting and weight loss, it can lead to a physiological disorder of the hypothalamic-pituitary axis, resulting in what is known as psychogenic amenorrhea. This type of amenorrhea usually results in significant weight loss in women. On the other hand, if a woman's amenorrhea is caused by polycystic ovary syndrome, it does not lead to weight loss and can even cause significant weight gain. Amenorrhea caused by this condition generally requires treatment with medication and interventions such as exercise before symptoms can improve significantly. Therefore, the treatment for amenorrhea should be based on its specific causes, as different causes can have different effects on weight.

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Written by Jia Rui
Obstetrics and Gynecology
1min 10sec home-news-image

Can amenorrhea be treated effectively?

Generally, amenorrhea can be managed effectively. Clinically, the most typical symptoms of amenorrhea are the absence of menstruation and the cessation of menstrual periods. There are many causes of amenorrhea, which may include exposure to cold, fatigue, emotional stress, bacterial infections, medications, and diseases, all leading to hormonal imbalances in the body. Dietary adjustments can be made to manage amenorrhea, such as avoiding picky and imbalanced eating, consciously increasing the intake of high-protein and high-calorie foods, which is beneficial for hormone production and conversion, and maintaining regular menstruation. It is also important to keep a cheerful mood to avoid disturbances in the flow of energy and blood, leading to irregular menstruation, as well as maintaining reasonable work and rest schedules, avoiding staying up late, and ensuring that the body's biological clock functions normally.

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Written by Li Shun Hua
Obstetrics and Gynecology
48sec home-news-image

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.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 13sec home-news-image

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 Zhang Xiu Rong
Obstetrics and Gynecology
1min 1sec home-news-image

How to treat amenorrhea infertility?

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.