How to regulate amenorrhea for one year?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 16, 2024
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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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Written by Li Shun Hua
Obstetrics and Gynecology
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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 Li Shun Hua
Obstetrics and Gynecology
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The Harm of Amenorrhea

In women, if amenorrhea occurs prematurely, it might indicate premature ovarian failure, which significantly impacts female reproductive function. This is because estrogen and progesterone, which are unique sex hormones in females, when depleted, can lead to atrophy of the reproductive organs, decreased libido, osteoporosis, and even early onset of heart disease. Therefore, hormone replacement therapy (HRT) can be applied in cases of premature ovarian failure. If amenorrhea occurs after the age of 40, it is considered normal and is a common phenomenon that every woman experiences. If there are no contraindications to medication, HRT can also be used, which can significantly slow down the aging process in women, improve their quality of life, and visibly enhance their well-being.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Is there leukorrhea after menopause?

After menopause, the amount of vaginal discharge will significantly decrease, but a small amount of discharge may still be present, which is a normal phenomenon. Due to the significant reduction or disappearance of estrogen secretion after menopause, the secretions from the vagina and cervix will significantly decrease, thus reducing vaginal discharge. However, if there is an increase in discharge, a change to a yellow color, and itching of the vulva, it could be due to vaginitis, which requires prompt medical examination and treatment since vaginitis is relatively common in the elderly.

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Written by Jia Rui
Obstetrics and Gynecology
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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 Zhao Xiao Dong
Obstetrics and Gynecology
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How to quickly induce menstruation when it has stopped.

Women with amenorrhea should first undergo a blood and urine HCG test to rule out the possibility of pregnancy. After excluding pregnancy, it is generally necessary to check the female sex hormone levels and thyroid function. Sometimes, specific diseases such as polycystic ovary syndrome, hyperprolactinemia, and premature ovarian failure can cause amenorrhea, and these specific diseases should be treated accordingly to induce menstruation. For polycystic ovary syndrome, treatment often involves the use of oral contraceptives to induce menstruation; for hyperprolactinemia, treatment typically involves the use of bromocriptine; for premature ovarian failure, estrogen-progestogen cycle replacement is usually prescribed. (Please use medications under the guidance of a doctor.)