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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Written by Jia Rui

Obstetrics and Gynecology

1min 10sec

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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 Zhang Xiu Rong

Obstetrics and Gynecology

54sec

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Causes of Amenorrhea

Amenorrhea can be physiological or pathological. Physiological amenorrhea, for example, occurs during the breastfeeding period when menstruation is irregular for three consecutive months; this is considered normal. Also, some patients may experience temporary amenorrhea due to medications used to treat conditions such as endometriosis, which is also normal. Pathological amenorrhea, commonly seen in clinical settings, includes conditions such as ovarian dysfunction, severe intrauterine adhesions, premature ovarian failure, or other endocrine disorders, which can result in the absence of menstruation. It is essential for individuals experiencing amenorrhea to undergo relevant medical examinations to identify the cause, followed by appropriate treatments based on the findings.

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Written by Jia Rui

Obstetrics and Gynecology

42sec

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Which department should I go to for amenorrhea?

Amenorrhea is recommended to consult a gynecologist, as it belongs to gynecological diseases. It is considered physiological for those over the age of fifty-five, and some may experience physiological amenorrhea between the ages of forty-five and fifty-five. If it occurs under the age of forty-five, the cause should be investigated, and relevant examinations should be conducted. Amenorrhea is related to daily excessive mental stress, malnutrition, excessive dieting, smoking, drinking, and mental pressure. If amenorrhea occurs, one should go to the hospital to exclude diseases such as ovarian disorders.

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Written by Huang Shuai

Obstetrics and Gynecology

1min 8sec

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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 Jia Rui

Obstetrics and Gynecology

1min 14sec

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What are the symptoms of amenorrhea?

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.