What are the symptoms of amenorrhea?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 07, 2024
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The most typical clinical presentation of amenorrhea is the absence of menstruation and cessation of menstrual periods. There are many causes of amenorrhea, such as exposure to cold, fatigue, medications, diseases, bacterial infections, and poor emotional states, all of which can lead to hormonal imbalances and result in amenorrhea. Additionally, amenorrhea may occur after sustained physical activity, which is related to the individual's psychological state, stress response level, and a decline in physical condition. If there is a weight loss of 10%-15%, or a 30% decrease in physical condition, amenorrhea may occur. If amenorrhea occurs, dietary adjustments can be made, such as avoiding picky and partial eating, avoiding intense exercise, and consciously increasing the intake of high-protein, high-calorie foods. This is beneficial for the production and transformation of hormones and maintaining normal menstruation. If symptoms do not improve, medical attention should be sought promptly.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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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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 Zhang Xiu Rong
Obstetrics and Gynecology
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How to treat amenorrhea?

Amenorrhea is generally defined in medicine as a condition where menstruation stops for three consecutive months. There are physiological and pathological types of amenorrhea. Physiological amenorrhea, such as not menstruating during breastfeeding or pregnancy, is considered normal and does not require medication for treatment. Pathological amenorrhea usually occurs when someone who normally has regular periods suddenly stops menstruating for three months. In such cases, it is essential to visit a hospital for relevant examinations and then treat accordingly based on the results. Common issues include ovarian dysfunction, premature ovarian failure, and elevated prolactin levels, all of which can lead to amenorrhea. Treatment should be chosen based on the examination results.

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Written by Jia Rui
Obstetrics and Gynecology
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What does amenorrhea mean?

The term "amenorrhea" that we often talk about refers to the sudden cessation of menstruation after it has occurred, stopping for more than three to six months. The normal age for menopause is around fifty years old, and a deviation of 3-5 years earlier or later is considered normal. Young women experiencing amenorrhea need to have their sex hormones tested, and then the menstrual cycle can be adjusted based on the results. There are many causes of amenorrhea, such as endocrine disorders, uterine diseases, emotional fluctuations, medication influences, gynecological inflammation, excessive fatigue, and severe mental stress, all of which can lead to amenorrhea. It is important to timely use dietary therapy and medication to treat it.

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Written by Zhao Xiao Dong
Obstetrics and Gynecology
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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.