Patient's question:
I am 25 years old this year, and I have been experiencing amenorrhea for a year. A year ago, it might have been due to anorexia that my menstruation stopped, and now my diet has returned to normal. I have always been seeking medical treatment, and the examination said my uterus is smaller than normal, poorly developed, with no other abnormalities. So, I have been taking traditional Chinese medicine for regulation, but it seems to have no effect. Please ask the doctor what I should do now?Doctor's answer:
The causes of amenorrhea can be divided into physiological and pathological types. The physiological causes include: impaired endocrine system, insufficient kidney qi, pregnancy; insufficient blood sea during lactation, reduced secretion of sex hormones due to prolactin; and factors such as ovarian dysfunction during menopause around the age of 50.Pathological causes of amenorrhea include congenital defects in the lower reproductive tract, such as hymen atresia or adhesions caused by postnatal injury, which prevent menstrual flow, leading to hidden or pseudomenorrhea. Congenital absence or underdevelopment of 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 can lead to pituitary amenorrhea. Psychological and neurological factors include wasting diseases, sex chromosome abnormalities, anemia, obesity, reproductive functional malnutrition, drug-induced syndrome, galactorrhea amenorrhea syndrome, polycystic ovary syndrome, and hypothalamic amenorrhea caused by other endocrine gland influences.
Treatment for this condition requires differentiation of symptoms and seeking the root cause, regulating the Chong and Ren meridians, adopting both draining and reinforcing methods, and nourishing and tonifying. Traditional therapies often have remarkable effects on secondary amenorrhea, and primary amenorrhea can also gradually improve.