Will there be ovulation during amenorrhea?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on January 10, 2025
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In our professional field, amenorrhea is actually defined as not having menstruation for over six months, or missing three menstrual cycles—this is what we professionally regard as amenorrhea. What most people talk about as amenorrhea refers to the situation where menstruation does not occur when expected. In cases where menstruation does not occur when expected, is ovulation still possible? In fact, it is possible to ovulate under such circumstances.

Generally speaking, for a woman with regular menstrual cycles, if she does not get her period when expected, the first considerations are usually pregnancy or an anovulatory menstrual cycle, both of which are common occurrences. Of course, for women with irregular menstrual cycles, or even for those with regular cycles who do not get their period when expected, it is possible that ovulation may be delayed.

How long can it be delayed? The timing can sometimes be uncertain, it is entirely possible for ovulation to occur sometime after the expected menstrual date. Therefore, during the period after the expected time of menstruation, it is indeed entirely possible for ovulation to occur.

Other Voices

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How to quickly induce menstruation when it has stopped.

Women with amenorrhea should first undergo a blood and urine HCG test to rule out the possibility of pregnancy. After excluding pregnancy, it is generally necessary to check the female sex hormone levels and thyroid function. Sometimes, specific diseases such as polycystic ovary syndrome, hyperprolactinemia, and premature ovarian failure can cause amenorrhea, and these specific diseases should be treated accordingly to induce menstruation. For polycystic ovary syndrome, treatment often involves the use of oral contraceptives to induce menstruation; for hyperprolactinemia, treatment typically involves the use of bromocriptine; for premature ovarian failure, estrogen-progestogen cycle replacement is usually prescribed. (Please use medications under the guidance of a doctor.)

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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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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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Can you get pregnant after menopause?

If menstruation has already ceased, it is generally not possible to become pregnant. This is because after menopause, ovarian function has essentially declined, and there is no regular secretion of estrogen and progesterone. Thus, there is no development and presence of mature follicles, making pregnancy highly unlikely. Currently, symptoms can only be addressed by utilizing assisted reproductive technologies. If menstruation ceases before the typical age of menopause, early ovarian failure should be considered, and appropriate diagnostic and therapeutic measures should be taken.

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Why do breasts swell and hurt after menstruation stops?

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.