How to regulate amenorrhea with no vaginal discharge?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on January 30, 2025
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Amenorrhea without vaginal discharge is a normal physiological phenomenon. Amenorrhea occurs due to ovarian failure, which results in no normal ovulation and a significant decrease in estrogen levels, or very low levels of estrogen. Consequently, the secretions from the cervix and vagina decrease, leading to an absence of vaginal discharge—a normal occurrence that does not require intervention. However, if there is an increase in vaginal discharge after amenorrhea, or if the discharge is abnormally colored and accompanied by itching of the vulva, it could indicate vaginitis, which would require prompt examination and treatment. Therefore, the absence of vaginal discharge following amenorrhea does not require intervention.

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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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Will weight decrease with amenorrhea?

Amenorrhea can lead to weight loss but it can also cause weight gain. The impact on weight varies depending on the cause of amenorrhea. If a woman experiences amenorrhea due to consistent dieting and weight loss, it can lead to a physiological disorder of the hypothalamic-pituitary axis, resulting in what is known as psychogenic amenorrhea. This type of amenorrhea usually results in significant weight loss in women. On the other hand, if a woman's amenorrhea is caused by polycystic ovary syndrome, it does not lead to weight loss and can even cause significant weight gain. Amenorrhea caused by this condition generally requires treatment with medication and interventions such as exercise before symptoms can improve significantly. Therefore, the treatment for amenorrhea should be based on its specific causes, as different causes can have different effects on weight.

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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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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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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.