What tests are required for amenorrhea?

Written by Jia Rui
Obstetrics and Gynecology
Updated on February 28, 2025
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Amenorrhea is one of the most common gynecological diseases, and it usually requires an ultrasound and a sex hormone panel test. Testing the sex hormone panel should be done by drawing blood on an empty stomach in the morning, three to five days after the onset of menstruation, for more accurate results. After identifying the cause, treatment should be targeted accordingly. There are many reasons for amenorrhea in women, such as poor lifestyle habits, excessive fasting for weight loss, malnutrition, and kidney deficiency, all of which can cause this condition. Amenorrhea can lead to disturbances in the ovulation cycle and, in severe cases, prevent the development of follicles, causing infertility in women.

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How to distinguish between pregnancy and amenorrhea

If your menstrual cycles have been regular up to now and there is a delay in your current cycle, the first thing to do is to rule out the possibility of pregnancy. There is a significant difference between a normal pregnancy and amenorrhea, and pregnancy can generally be detected through early pregnancy test strips if the menstrual cycle is irregular. If the test strip is positive, it is generally considered likely that you are pregnant, and it is not a case of amenorrhea. If the test shows a negative result, then it is necessary to check the thickness of the endometrium. If the endometrium is thin, the likelihood of amenorrhea significantly increases.

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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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Can you get pregnant after menopause?

If menstruation has already ceased, it is generally not possible to become pregnant. This is because after menopause, ovarian function has essentially declined, and there is no regular secretion of estrogen and progesterone. Thus, there is no development and presence of mature follicles, making pregnancy highly unlikely. Currently, symptoms can only be addressed by utilizing assisted reproductive technologies. If menstruation ceases before the typical age of menopause, early ovarian failure should be considered, and appropriate diagnostic and therapeutic measures should be taken.

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Written by Huang Shuai
Obstetrics and Gynecology
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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 Zhang Xiu Rong
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Amenorrhea is the absence of menstruation.

Amenorrhea is a type of endocrine disorder and menstrual irregularity in women. Normally, women have a menstrual period once a month. If there is no menstrual period for three consecutive months, it is medically referred to as amenorrhea. There are physiological and pathological types of amenorrhea. Physiological amenorrhea, such as during pregnancy, is normal when periods stop. Or it could be a physiological abnormality, for example, not having periods for three months during breastfeeding, which is also considered physiological. Pathological amenorrhea commonly includes conditions like intrauterine adhesions or ovarian dysfunction, premature ovarian failure, and so on. In such cases, it is necessary to visit a hospital for relevant examinations and then provide treatment based on the results of those examinations.