Patient's question:
Previously everything was normal, I would like to ask;What is the condition of amenorrhea?
How should it be treated?
Doctor's answer:
Amenorrhea refers to the absence of menstruation in women who are 18 years old or older and have never experienced menarche, or those who previously had normal menstruation but have experienced amenorrhea for more than three cycles. The former is known as primary amenorrhea, while the latter is called secondary amenorrhea. Amenorrhea during prepuberty, pregnancy, lactation, and menopause are all physiological phenomena. However, amenorrhea caused by congenital reproductive organ developmental abnormalities or acquired organic damage is not effective with non-pharmacological treatments and is not within the scope of this section. There are many and complex causes of amenorrhea. Broadly speaking, the reasons can be summarized as follows: such as uterine developmental disorders, endometrial tuberculosis, uterine cavity adhesions caused by curettage, ovarian dysfunction, premature ovarian failure, polycystic ovary syndrome, pituitary tumors, anterior lobe necrosis of the pituitary caused by postpartum massive hemorrhage, or amenorrhea caused by hypothalamic dysfunction due to psychological trauma, anxiety, fear, or severe malnutrition.Symptoms:
1. Uterine amenorrhea: Amenorrhea caused by uterine developmental disorders often manifests as the absence of menstruation by the age of 18 or delayed menarche, with low menstrual volume, gradually leading to amenorrhea. Gynecological examination may reveal a small or immature uterus; amenorrhea caused by endometrial tuberculosis is often associated with a history of tuberculosis exposure, accompanied by low-grade fever (37.5–38.5°C in the afternoon), night sweats, and fatigue. Laboratory tests show increased erythrocyte sedimentation rate and an increase in lymphocytes in the blood count; amenorrhea caused by uterine adhesions often has a history of curettage and is accompanied by cyclic lower abdominal pain or back pain.
2. Ovarian amenorrhea: Amenorrhea caused by ovarian dysfunction is often accompanied by vaginal dryness, difficulty during intercourse, or infertility; amenorrhea caused by premature ovarian failure is characterized by the absence of menstruation before the age of 40, accompanied by