Does amenorrhea always lead to premature ovarian failure?

Patient's question:

Does taking Effexor cause ovarian failure? If you still have your period, do you still need to take hormones? I'm worried about cancer!

Doctor's answer:

Here is the English translation of the provided text, with the exception that newline characters (`\n`) are preserved as they are:
It is recommended to consult with the local neurology specialists to see how the medication can be adjusted. You should pay attention to rest, relax your mind, and avoid excessive stress. Do not adjust the medication on your own to prevent further fluctuations in your condition. Early ovarian failure is a disease that is difficult to fully cure. Patients should always maintain an optimistic attitude and face it with a positive mindset. Only in this way can they boost their confidence in combating early ovarian failure and believe that recovery is possible.

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