What to do about amenorrhea and how to regulate it?

Written by Jia Rui
Obstetrics and Gynecology
Updated on May 19, 2025
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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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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.

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Where is moxibustion most effective for amenorrhea?

For women experiencing amenorrhea due to various reasons, it is advisable to undergo a systematic examination at a hospital. This is because the regulation of the menstrual cycle is a complex process involving the hypothalamic-pituitary-ovarian axis and cerebral cortex, as well as factors related to mental health, body fluids, and environmental aspects. Only after identifying the cause can a doctor arrange a suitable treatment plan. You may also consider traditional Chinese medicine, which has unique efficacy and insights regarding amenorrhea. When opting for moxibustion, it should be performed under the guidance of a professional traditional Chinese medicine therapist. It is not advisable to go to small clinics or beauty salons for this treatment, as it involves specific acupuncture points. Whether to choose the Guanchi point or the Sanyinjiao point should be determined by a professional practitioner. If you have further questions, please consult a doctor at the hospital.

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Can you get pregnant if your period has stopped?

If amenorrhea occurs, it can lead to infertility, accounting for 25%-35% of female infertility. Common causes of amenorrhea include cerebral disease, pituitary disorders, ovarian disorders, and endocrine diseases. These factors can all lead to amenorrhea. If amenorrhea occurs and there is a desire for children, it is recommended to seek prompt and comprehensive examination at a reproductive hospital. Treatment should be systematically adjusted according to the specific cause, which can effectively improve ovulation and restore normal menstruation, thereby increasing the normal fertility rate. There are many reasons for female infertility, and a comprehensive examination is necessary. Any factor can affect normal pregnancy, making infertility a very complex disease.

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If menstruation has ceased and breast pain and swelling occur, it is first necessary to determine how long it has been since the last menstrual period. If the expected period is delayed and breast discomfort arises, a visit to the hospital for a pregnancy test is recommended. For women of childbearing age who are not pregnant, it is considered normal for periods to shift slightly, typically by about a week. Medically, if menstruation has stopped for three consecutive months, it is referred to as amenorrhea. If there has been no menstruation for three months accompanied by breast pain and swelling, and pregnancy is ruled out, a breast ultrasound should be performed to check for any organic breast diseases. If no organic diseases are found, the possibility of galactorrhea-amenorrhea syndrome cannot be dismissed, and further medical tests and appropriate treatment at a hospital are necessary.

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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.