What are the effective methods to treat amenorrhea?

Patient's question:

At the age of 19, I haven't had my menstrual period for over two and a half months. My menstrual cycle has always been irregular. I have had a thorough examination at the hospital, and the endometrial thickness is 0.8 cm. I have never been pregnant, given birth, or had an abortion. I have taken Chinese medicine, including Motherwort, and it hasn't helped. What are the effective methods to treat amenorrhea?

Doctor's answer:

Curable. The causes of amenorrhea can be divided into physiological and pathological types. Physiological amenorrhea is caused by factors such as impaired endocrine system, insufficient kidney qi, pregnancy; inability of the blood sea to be full during lactation, prolactin forcing an increase in the excretion of sex hormones; and factors such as ovarian function decline around the age of 50, entering menopause. Pathological amenorrhea is caused by congenital defects in the lower segment of the reproductive tract, such as hymen atresia or post-traumatic adhesions, which prevent menstruation from flowing out, resulting in hidden or pseudomenorrhea. Congenital absence or underdevelopment of the ovaries, ovarian damage or removal, ovarian tumors, and premature ovarian failure leading to ovarian amenorrhea.

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