How should amenorrhea be managed?

Written by Li Shun Hua

Obstetrics and Gynecology

Updated on January 08, 2025

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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

1min 1sec

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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.

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Written by Hou Jie

Obstetrics and Gynecology

57sec

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How to regulate amenorrhea to restore menstruation

In the treatment of amenorrhea, systemic treatment plays an important role. It includes active treatment of systemic diseases, improving the overall quality of the body, and then providing adequate nutrition to maintain standard weight. In cases of exercise-induced amenorrhea, it is appropriate to reduce the amount of exercise. For amenorrhea caused by stress and psychological reasons, patient psychological therapy should be conducted to eliminate mental tension and anxiety. If the amenorrhea is caused by pathological conditions like tumors or polycystic ovary syndrome, then etiological treatment should be given. Once the cause of the disease is identified, appropriate hormonal treatment should be provided to supplement insufficient hormones in the body and counteract excess, aiming to regulate and treat amenorrhea.

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Written by Jia Rui

Obstetrics and Gynecology

48sec

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What tests are required for amenorrhea?

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

59sec

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What to eat to induce menstruation when it has stopped?

In cases of amenorrhea, it is advised to regularly drink fresh soy milk, which contains soy isoflavones, supplementing plant-based estrogens. Additionally, consuming royal jelly, which contains animal estrogens, as well as eating black beans, peanuts, and onions can be beneficial. Clinically, the most typical presentation of amenorrhea is the absence of menstruation or a sudden cessation of menstrual periods. There are many causes of amenorrhea, including menopausal syndrome, exposure to cold, fatigue, emotions, medications, diseases, bacterial infections, hormonal imbalances, and an increase in male hormones, all of which can lead to amenorrhea. Dietary adjustments should be noted, and if there is no improvement, it is necessary to visit a hospital for relevant examinations.

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Written by Jia Rui

Obstetrics and Gynecology

59sec

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Is amenorrhea related to the kidneys?

Generally, amenorrhea is not greatly related to the kidneys. The most typical clinical presentation of amenorrhea is the absence or cessation of menstrual periods. There are many reasons that can cause amenorrhea, such as being chilled, fatigue, emotions, bacterial infections, medications, and diseases that lead to hormonal imbalances in the body. If amenorrhea occurs, it can be managed through dietary adjustments. Eating a balanced diet, without being picky or selective, consciously increasing intake of high-protein and high-calorie foods can be beneficial for hormone production and conversion, maintaining normal menstruation. Additionally, it is important to keep a cheerful mood to avoid causing disruptions in qi and blood. If dietary adjustments are insufficient, it is necessary to visit a hospital to check the underlying causes.