amenorrhea is a phenomenon without menstruation in women constantly or permanently due to dysfunction of the dysfunction of the hypothalamus, pituitary, ovaries, uterus and vagina .
Normal amenorrhea is divided into two types: amenorrhea and secondary menstrual amenorrhea.
amenorrhea is a woman until the age of 15 still has no menstruation. From 6 months or more in women who had menstrual periods. >
Causes of Amenorrhea's disease
Causes leading to amenorrhea:
Ovarian lesions in women. Sex as there is no uterus, no ovaries. There are cases where the ovaries have, but the woman does not have vagina or hymen sealing the vagina. /Li>
Causes of secondary amenorrhea:
Early ovarian failure in women. , stop the ovulation process. Menstrual menstruation and ovulation are stopped. Depression, medication for blood pressure, anti -allergy drugs. Li>
sickness continuously. , pituitary gland
ovarian tumor
The cause of uterine surgery previously left scars
Symptoms of Amenorrhea's disease
Symptoms that appear that we think of amenorrhea phenomenon are:
Unusual menstruation for 3 consecutive months or no menstruation at the age of 15 or over the age of 15
Message in keeping balance, coordination and vision
The abnormal increase in the number of hairs on the body
Milk secretion like milk from the nipple even though there is no baby
Hair loss, dry skin Li>
headache, fatigue
Pelvic pain
abnormal weight gain
constipation
acne Fish eggs
Slow heart rate
People at risk for Amenorrhea's disease
Secondary menstrual loss is often common in women under 25 and girls of puberty.
The disease is also common for women with a career that must be active and overwhelming as athletes, dancers ...
Risk factors that increase the likelihood of menstruation in women are:
In families with women who have menstruation
The diet is not reasonable, anorexia or overeating
Exercise is too strong
Prevention of Amenorrhea's disease
Preventing menstruation, especially secondary amenorrhea, women need to maintain a healthy, scientific lifestyle
Women need to have a regular diet, keep their weight at a reasonable level, pay attention to the monthly menstrual cycle
In addition, women need medical facilities for periodic gynecological examination to detect menstruation in time.
Diagnostic measures for Amenorrhea's disease
Secondary amenorrhea diagnosis:
First, you need to eliminate pregnancy with hcg urine test or serum hcg beta
Exploiting patients to find the cause of amenorrhea: Whether patients are stress, change weight, imbalance in diet, exercise excessively or not ? Whether patients are using amenorrhea drugs (birth control pills, sedatives ...). Patients with a history of abortion, uterine lining?
Clinically, patients with secondary amenorrhea have characteristics such as:
The BMI <18.5 kg/m² is accompanied by abnormal changes in the diet, body diseases that cause quick weight loss, then think of amenorrhea due to the cause of the hypothalamus. . Li> Patients have signs of nerve compression due to pitiaoms such as headache, blurred vision, anorexia, urination more than usual.
The patient has signs such as hot flashes, vaginal dryness. After to strengthen the diagnosis of the amenorrhea:
Blood prolactin level: If this concentration is high may be due to hypothyroidism. Need to take additional MRI pit mri to find pituitary glands, pituitary tumors. Turner. If the FSH concentration within the normal or low limit is accompanied by low estrogen, it will think a lot about the cause of the secondary hypothalamus. Blood and Dhed-S if suspected to have an androgen in patients. ovarian and adrenal glands. Does the patient's family have any members who wake up late or not? In the newborn and childhood period of the patient, considering congenital adrenal glands. There is a change in diet, activities, exercise or using amenorrhea drugs.
Clinically patients have:
The abnormalities in breast development. , have cervical, ovaries? Do the following tests:
ultrasound to detect the congestion of menstruation. uterine. Testing HCG, FSH, hormones to eliminate pregnancy and find the cause of the secondary amenorrhea as above.
Amenorrhea's disease treatments
Selecting amenorrhea treatments depends on the cause of the disease:
Diet and weight loss exercise are done for amenorrhea due to obesity.
Reduce sorrow, stress. Si for patients with amenorrhea due to early ovarian failure. Endometrial, obesity, metabolic disorders. Treatment indications for amenorrhea caused by polycystic ovaries are weight loss by dieting and exercise, using drugs such as metformin diabetes. There are Y chromosomes or have sexual damage to restore or shape vaginal shapes for menstrual blood to escape. Surgery can be performed such as: surgery to remove scar tissue in the uterus, surgery to remove benign pituitary tumors. Especially gynecological examination to promptly detect.
See also:
Distinguish amenorrhea and secondary menstrual amenorrhea - How to identify and treat
People with amenorrhea can be pregnant?
all things you need to know about menstrual disorders!
How to measure and calculate the BMI according to the instructions of the National Institute of Nutrition
Why do you often have to measure the concentration of HCG?
Menstrual period - Expression of polycystic ovaries?
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