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.

Other Voices

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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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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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Women generally experience menopause at what age?

The average age of menopause for women in our country is generally around 49 years old. Before menopause, some people may experience irregular periods for about two to three years, a period also known as the perimenopause. Some may have periods once every two or three months until they gradually cease, reaching menopause. Others might experience increased menstrual flow, prolonged periods, and shorter cycles. Thus, generally, women around 48 or 49 years of age, if experiencing irregular periods, should consider that they are nearing menopause and should pay attention to menopausal care. After menopause at the age of 49, some may experience symptoms of menopause. Therefore, the average age of menopause in our country is around 49 years old.

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What is amenorrhea?

In clinical practice, amenorrhea is an external manifestation caused by pathological and physiological changes in women's bodies, resulting from various diseases. Generally, the most typical symptom of amenorrhea is the absence of menstruation or the cessation of periods. There are many causes of amenorrhea, which may include exposure to cold, fatigue, emotional stress, bacterial infections, and disruptions in hormone secretion caused by medications or diseases. If amenorrhea occurs, it can be managed through diet by avoiding picky and unbalanced eating, and consciously increasing the intake of high-protein and high-calorie foods, which helps in hormone production and conversion, maintaining normal menstruation. Additionally, if dietary adjustments prove ineffective, it is important to seek prompt medical examination and treatment at a hospital.

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The Harm of Amenorrhea

In women, if amenorrhea occurs prematurely, it might indicate premature ovarian failure, which significantly impacts female reproductive function. This is because estrogen and progesterone, which are unique sex hormones in females, when depleted, can lead to atrophy of the reproductive organs, decreased libido, osteoporosis, and even early onset of heart disease. Therefore, hormone replacement therapy (HRT) can be applied in cases of premature ovarian failure. If amenorrhea occurs after the age of 40, it is considered normal and is a common phenomenon that every woman experiences. If there are no contraindications to medication, HRT can also be used, which can significantly slow down the aging process in women, improve their quality of life, and visibly enhance their well-being.