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

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 22, 2024
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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.

Other Voices

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Written by Li Shun Hua
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What are the symptoms before amenorrhea?

Before menopause, women will experience some symptoms of menopause, which manifest as menstrual disorders, including excessive menstruation, insufficient menstruation, early menstruation, or missing periods for two to three months. The main symptoms of menopause include irritability, easy annoyance, hot flashes, night sweats, and poor sleep at night. These are all caused by menopause. At this time, hormone replacement therapy can be used. Hormone replacement therapy is very effective for treating menopausal syndrome, delaying aging in women, and protecting women's bones and heart.

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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
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What are the harms of premature menopause?

The normal age of menopause for women in our country is around 49 years old. If menopause occurs during this period, it's generally not a big issue. However, if menopause occurs prematurely, it typically indicates a decline in ovarian function or early ovarian failure. This can cause disruptions in marital relations for women, and if menopause happens too early, it can lead to premature symptoms of menopause. Symptoms such as hot flashes, sweating, irritability can occur, and in severe cases, it may lead to diseases related to blood pressure and cardiovascular health. Therefore, premature menopause does have an impact on health. If these symptoms appear prematurely, it is crucial to go to the hospital for appropriate adjustment and treatment.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How to regulate amenorrhea for one year?

If a woman under 40 experiences amenorrhea for a year, it is advisable to check the six sex hormones. If there is an increase in luteinizing hormone and follicle-stimulating hormone, it indicates menopause. However, menopause before 40 is called premature ovarian failure, and hormone replacement therapy is needed. This treatment can delay aging in women and improve post-menopausal symptoms. If menopause occurs after the age of 40, it is a natural state. Every woman will go through menopause, and if menopausal symptoms occur, hormone replacement therapy can also be used.

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How can amenorrhea be treated to restore menstruation?

In the treatment of amenorrhea, systemic treatment plays an important role. It includes actively treating systemic diseases, improving the overall quality of the body, providing sufficient nutrition, and maintaining standard body weight. If the patient is overweight, it is recommended to exercise to lose weight; if it is exercise-induced amenorrhea, it is appropriate to reduce the amount of exercise; if the amenorrhea is due to stress or psychological factors, then patient and psychological treatment should be conducted to eliminate mental tension and anxiety; if the amenorrhea is caused by tumors, polycystic ovary syndrome, then treatment should be based on the specific cause.