Patient's question:
I am 30 years old, and I have been experiencing amenorrhea for 10 years. I have been receiving injections and medication for a long time. However, the condition keeps recurring without a permanent cure. Currently, I do not have children. I would like to ask the experts for a clear and effective treatment plan. Thank you.First follow-up question: I have tried the methods you mentioned many times, but they have not been effective. The medication works when I take it, but stops working when I stop. This makes me very frustrated. Could you please recommend hospitals or experts in this field? Thank you.
Doctor's answer:
Hello, amenorrhea is a common symptom of many gynecological diseases, caused by functional or organic lesions in any part of the hypothalamic-pituitary-ovarian axis. According to the location of the lesion causing amenorrhea, it can be classified as uterine, ovarian, pituitary, or hypothalamic amenorrhea. Treatment methods(1) General treatment: For amenorrhea caused by environmental changes or psychological trauma, adjustments can be made through nutritional support, physical conditioning, avoiding mental stress, and excessive fatigue. For amenorrhea caused by oral contraceptives, the medication should be discontinued and observed.
(2) Endometrial tuberculosis: Anti-tuberculosis medication should be administered.
(3) Endocrine treatment: Applicable to amenorrhea caused by congenital adrenal hypoplasia, impaired ovarian function, hypopituitarism, or premature ovarian failure.
① Estrogen therapy: Used for patients who are younger and have lower estrogen levels.
② Progestogen therapy: Used for patients who have a certain amount of estrogen secretion.
③ Estrogen-progestogen therapy: Sequentially administer estrogen and progesterone to induce menstrual-like withdrawal bleeding.
④ Induction of ovulation: Clomiphene, human chorionic gonadotropin, or gonadotropin-releasing hormone can be selected.