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.

Other Voices

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Written by Li Shun Hua

Obstetrics and Gynecology

56sec

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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 Zhang Xiu Rong

Obstetrics and Gynecology

1min 2sec

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Why do breasts swell and hurt after menstruation stops?

If menstruation has ceased and breast pain and swelling occur, it is first necessary to determine how long it has been since the last menstrual period. If the expected period is delayed and breast discomfort arises, a visit to the hospital for a pregnancy test is recommended. For women of childbearing age who are not pregnant, it is considered normal for periods to shift slightly, typically by about a week. Medically, if menstruation has stopped for three consecutive months, it is referred to as amenorrhea. If there has been no menstruation for three months accompanied by breast pain and swelling, and pregnancy is ruled out, a breast ultrasound should be performed to check for any organic breast diseases. If no organic diseases are found, the possibility of galactorrhea-amenorrhea syndrome cannot be dismissed, and further medical tests and appropriate treatment at a hospital are necessary.

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Written by Zhao Li Li

Obstetrics

42sec

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Can you get pregnant after menopause?

If menstruation has already ceased, it is generally not possible to become pregnant. This is because after menopause, ovarian function has essentially declined, and there is no regular secretion of estrogen and progesterone. Thus, there is no development and presence of mature follicles, making pregnancy highly unlikely. Currently, symptoms can only be addressed by utilizing assisted reproductive technologies. If menstruation ceases before the typical age of menopause, early ovarian failure should be considered, and appropriate diagnostic and therapeutic measures should be taken.

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Written by Jia Rui

Obstetrics and Gynecology

45sec

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Will amenorrhea cause nipple pain?

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 Huang Shuai

Obstetrics and Gynecology

1min 8sec

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Will there be ovulation during amenorrhea?

In our professional field, amenorrhea is actually defined as not having menstruation for over six months, or missing three menstrual cycles—this is what we professionally regard as amenorrhea. What most people talk about as amenorrhea refers to the situation where menstruation does not occur when expected. In cases where menstruation does not occur when expected, is ovulation still possible? In fact, it is possible to ovulate under such circumstances. Generally speaking, for a woman with regular menstrual cycles, if she does not get her period when expected, the first considerations are usually pregnancy or an anovulatory menstrual cycle, both of which are common occurrences. Of course, for women with irregular menstrual cycles, or even for those with regular cycles who do not get their period when expected, it is possible that ovulation may be delayed. How long can it be delayed? The timing can sometimes be uncertain, it is entirely possible for ovulation to occur sometime after the expected menstrual date. Therefore, during the period after the expected time of menstruation, it is indeed entirely possible for ovulation to occur.