Amenorrhea: Symptoms and Causes

Written by Jia Rui
Obstetrics and Gynecology
Updated on January 12, 2025
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Clinically, the most typical manifestation of amenorrhea is the absence of menstruation or the cessation of menstruation. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, bacterial infections, medications, and diseases, all of which can lead to hormonal imbalances and increased levels of male hormones. Amenorrhea can be divided into primary amenorrhea and secondary amenorrhea. Primary amenorrhea is less common and is often caused by genetic and congenital developmental defects. Secondary amenorrhea has a higher incidence than primary amenorrhea, and active treatment is required in such cases.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 13sec home-news-image

Is amenorrhea a disease?

Amenorrhea is first divided into physiological or pathological. If it is physiological, it generally is not a major issue, but pathological cases must be treated symptomatically. For physiological amenorrhea, such as not menstruating for three months during the breastfeeding period, this is normal. It's mainly influenced by the secretion of prolactin from the ovaries, so it’s possible not to have menstruation during breastfeeding, and this is not a problem. Moreover, some people use medications, such as those used to treat endometriosis, which can cause amenorrhea; this type of amenorrhea is normal, and menstruation usually resumes after stopping the medication. Then there is pathological amenorrhea, typically seen with severe conditions like uterine endometrium or intrauterine adhesions, which can also cause a lack of menstruation. Additionally, ovarian secretory dysfunction, certain endocrine disorders, or premature ovarian failure, can all lead to amenorrhea, requiring related medical examinations and symptomatic treatment in a hospital.

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Written by Hou Jie
Obstetrics and Gynecology
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How to induce menstruation after six months of amenorrhea?

If women are in the perimenopausal period and experience amenorrhea, it is not advised to use medication to induce menstruation. Artificially prolonging menstruation can sometimes lead to breast diseases, so excessive intervention is not recommended. This is a natural law of nature that we need to follow. For women who are not in menopause but experience amenorrhea, it is necessary to perform ultrasound and test six sex hormones. Sometimes, it may also be necessary to examine the pituitary gland to identify the specific cause of amenorrhea. Based on the specific cause, systematic treatment to regulate menstruation is required, and sometimes medication is necessary. If there is a pituitary tumor, surgical treatment might also be needed. (The use of medication should be conducted under the guidance of a professional doctor.)

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Written by Jia Rui
Obstetrics and Gynecology
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What to do about amenorrhea and how to regulate it?

Amenorrhea is a common gynecological disease, and there are many causes that can lead to amenorrhea. Hormonal tests and ultrasound examinations can be conducted to identify the causes, and treatment can be carried out accordingly. There are many reasons for amenorrhea among women, such as poor lifestyle habits, excessive dieting, malnutrition, deficiency of kidney qi, lack of essence and blood, etc. Amenorrhea can easily cause disorders in the ovulation cycle, and in severe cases, it may lead to non-proliferative changes in the endometrium and lack of follicular development, ultimately leading to female infertility. It is suggested to drink some Chinese herbal medicine to regulate the condition of amenorrhea.

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Written by Jia Rui
Obstetrics and Gynecology
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Can I eat donkey-hide gelatin for amenorrhea?

After menopause, it is okay to consume donkey-hide gelatin, which is a blood-nourishing product that can help women recover their health. It also enhances physical constitution for women and belongs to the category of nourishing foods. It is generally recommended to be taken in autumn and winter, and it’s best not to take it in summer. After menopause, it is important to have regular meals, ensure ample sleep, and avoid spicy and stimulating foods as much as possible. Moderate physical exercise should be carried out to boost immunity.

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Written by Li Li Jie
Obstetrics and Gynecology
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Is it normal for a 42-year-old to have menopause?

Menopause at age 42 is abnormal, as the menopause age for most women in our country is between 45 and 55 years old. The age at menopause is mainly related to genetics, nutritional status, climate, immune function, and other factors. Menopause at 42 suggests that ovarian function has already declined, and women often experience symptoms such as low mood, poor sleep quality, osteoporosis, and cardiovascular diseases. For this situation, it is recommended that women visit a reputable hospital for a diagnosis as soon as possible. A typical examination includes the sex hormone panel to check for ovarian function decline. If there is indeed a decline in ovarian function, hormone medications can be used under a doctor’s guidance to enhance resistance. It is crucial to avoid staying up late and maintain a good mood.