Patient's question:
Is it normal to stop menstruating at 40?Current general condition: No abnormal symptoms, fine lines on the face.
Medical history: Cesarean delivery at 24, ectopic pregnancy with heavy bleeding at 28, had an abortion
Previous diagnoses and treatment history and outcomes:
Auxiliary tests:
Other:
Doctor's answer:
Hello, amenorrhea is not normal at present. The causes of amenorrhea can be divided into physiological and pathological types. The physiological causes of amenorrhea include: incomplete endocrine system, insufficient kidney qi, pregnancy; inability of the blood sea to be full during lactation, prolactin promoting the secretion of sex hormones to decrease; factors such as ovarian function decline around the age of 50 during menopause.The pathological causes of amenorrhea are due to congenital defects in the lower segment of the reproductive tract, such as hymen atresia or adhesions caused by postnatal damage, which prevent menstruation from flowing out, leading to hidden or pseudomenorrhea. Congenital absence or underdevelopment of the ovaries, ovarian damage or removal, ovarian tumors, and premature ovarian failure can also cause ovarian amenorrhea.
Damage to the pituitary gland, pituitary tumors, primary hypogonadotropic hypogonadism of the pituitary gland can lead to pituitary amenorrhea. Mental and neurological factors include wasting diseases, sex chromosome abnormalities, anemia, obesity, reproductive functional malnutrition syndrome, drug-induced syndrome, galactorrhea amenorrhea syndrome, polycystic ovary syndrome, and hypothalamic amenorrhea caused by other endocrine gland influences.