What should I do if I have hypothalamic amenorrhea?

Patient's question:

Hello, I'm already married and have children. I'm only 36 years old now, but I've noticed that I haven't had my period for 2 months. I went for a thorough check-up, and the doctor said it's due to hypothalamic amenorrhea. What should I do about hypothalamic amenorrhea?

Doctor's answer:

Hypothalamic dysfunction may potentially cause amenorrhea, and it is necessary to consider conducting a check on the six excreted sex hormones. Among these, conditions such as polycystic ovary syndrome (PCOS), excessive excretion of androgens, and hyperprolactinemia, in addition to ovarian dysfunction, are all related to hypothalamic function. Generally, estrogen-progestogen drugs can be used to adjust the condition. If it is hyperprolactinemia, and prolactin levels are too high, then an MRI should be performed to check for a pituitary tumor.

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