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 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.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 18sec home-news-image

What should I do if my period has been absent for three months?

If a woman does not menstruate for three months, medically this is called amenorrhea. If she is relatively young, it is essential to visit a hospital for relevant examinations. Generally, an ultrasound is conducted first to check the thickness of the endometrial lining and to assess if there are any organic diseases affecting the uterus or ovaries. If the endometrium appears thin and there are no organic diseases, further examinations should include tests for six sex hormones, which are indicators of ovarian function. If the results suggest premature ovarian failure or some endocrine disorders, treatment can be tailored according to these findings. Moreover, if the woman has reached menopausal age and indeed has not menstruated for three months, this condition is considered amenorrhea, which might be physiological. Hence, if an older woman experiences amenorrhea, it is likely true menopausal amenorrhea. Additionally, if a woman who normally has regular menstrual cycles does not menstruate for three months, pregnancy cannot be ruled out, and it is crucial to conduct relevant tests for early pregnancy.

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Written by Zhao Xiao Dong
Obstetrics and Gynecology
1min 11sec home-news-image

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 Huang Shuai
Obstetrics and Gynecology
1min 8sec home-news-image

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.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How to regulate amenorrhea with no vaginal discharge?

Amenorrhea without vaginal discharge is a normal physiological phenomenon. Amenorrhea occurs due to ovarian failure, which results in no normal ovulation and a significant decrease in estrogen levels, or very low levels of estrogen. Consequently, the secretions from the cervix and vagina decrease, leading to an absence of vaginal discharge—a normal occurrence that does not require intervention. However, if there is an increase in vaginal discharge after amenorrhea, or if the discharge is abnormally colored and accompanied by itching of the vulva, it could indicate vaginitis, which would require prompt examination and treatment. Therefore, the absence of vaginal discharge following amenorrhea does not require intervention.