Can you get pregnant with menstrual disorder and amenorrhea?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 09, 2025
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When women experience menstrual disorders such as amenorrhea, most of them are unable to conceive. This is because the ovarian secretion of hormones is abnormal during this period, and there is an ovulation obstacle, usually resulting in the absence of eggs. Thus, sexual intercourse during this time generally does not lead to conception. However, a very small number of women may experience occasional ovulation during amenorrhea. If they have normal sexual relations without contraception during this time, conception could still occur. Nonetheless, many women have abnormal hormone levels during amenorrhea, so even if pregnancy occurs, the abnormal hormone levels in early pregnancy could lead to complications such as missed abortion and miscarriage. It is recommended that women who want to conceive should first undergo regular treatment to restore normal menstrual cycles and resume ovulation before actively trying to conceive.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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 Li Shun Hua
Obstetrics and Gynecology
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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.

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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 Jia Rui
Obstetrics and Gynecology
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How to deal with amenorrhea and nausea?

If nausea occurs after menopause, it's important to determine whether the menopause is physiological or pathological. Generally, menopause after the age of 55 is considered physiological, but if it occurs before the age of 55, the cause of the menopause should be considered, such as ovarian diseases. If nausea occurs with menopause, attention should be paid to adjusting the diet, eating more fresh vegetables and fruits, and consuming vitamin- and protein-rich foods. Maintain a pleasant mood, avoid spicy and greasy foods, and avoid fatigue.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to treat amenorrhea infertility?

Amenorrhea-induced infertility first requires identifying the underlying cause of the amenorrhea. If it is due to intrauterine adhesions, a hysteroscopic adhesion lysis can be performed. After surgery, promoting the development of the endometrium can normalize uterine lining growth and serve a therapeutic function. If the amenorrhea is caused by ovarian secretory dysfunction, adjusting ovarian function can help, as conditions like amenorrhea-galactorrhea syndrome and polycystic ovary syndrome are caused by amenorrhea and lead to infertility, in which case hormonal regulation can treat infertility. Amenorrhea caused by premature ovarian failure can pose significant treatment challenges if the deterioration is severe. Thus, determining the specific cause of amenorrhea is essential for targeted treatment.