the lack of monthly periods for more than six consecutive months. Amenorrhea does not develop as an independent disease, it occurs as a symptom accompanying various disorders in human health. The causes of this disease are congenital problems in the body, malformations of the genital organs and the disruption of the ovaries.
It is possible to allocate such forms of amenorrhea
- amenorrhea also has chronic, which is called the syndrome of amenorrhea.
In primary amenorrhea, menstruation is absent after sixteen years (this means that the monthly uterine bleeding do not). Often this amenorrhea in adolescents occurs in this form. Primary amenorrhea is often associated with hypoplasia of the pelvic organs.
Secondary amenorrhea is prolonged absence of menstrual periods (more than six months) in women who have already had monthly bleeding.
If the woman is no menstrual bleeding in connection with some irregularities in the development of the genital organs (absence of canal of the cervix, imperforate hymen), that is in the path of the discharge, there are certain mechanical obstacles, but in the body there are normal hormonal fluctuations, this form of amenorrhea amenorrhea is called false.
Iatrogenic amenorrhea is characterized by the absence of the menstrual cycle in regard to medical intervention in the body.
Based on the causes of absence of menstruation, there are the following types of amenorrhea
- amenorrhea of Central Genesis
- ovarian (caused due to violations of the structure or malfunction of the ovaries)
- uterine (occurs when irregularities in the development of the uterus, it can be both congenital and acquired developmental problems)
- amenorrhea that occurs with the pathology of the adrenal glands
- amenorrhea that occurs with improper functioning of thyroid gland
- lactational amenorrhea occurs in women during breast-feeding
- psychogenic amenorrhea.
Causes of amenorrhea
- this is a congenital genetic problem in the body, usually associated with hypoplasia of the reproductive system and changing the number of chromosomes
- malformations of the genital organs. There are a few defects in which there is amenorrhea, and it is the absence of the uterus, cervical canal of uterus, no ovaries, no vagina, disruption of the cortex or of some of its departments
- psychological causes
- disorders of ovarian
- pathology of the uterus.
- Initially it is necessary to analyze the history of the disease and know the patient’s complaints, namely whether before menstruation, at what point they stopped, what can be the reason, perhaps, was any stress (illness, infection, sudden change in body weight, increased physical load on the body, etc.)
- then carry out the analysis of hereditary medical history (check with the patient whether such problems from his relatives on the maternal line). Next, you need to clarify whether transferred any gynecological disease (sexually transmitted disease, surgery of the genital organs, did abortions, number of pregnancies)
- secondary amenorrhea is necessary to clarify the patient when the first menstruation, what is the length and regularity of cycle
- in some cases it is necessary to produce a pelvic bimanual examination. Gynecologist should palpation to determine how developed the sex organs, if there are any abnormalities, normal sizes of the ovaries and cervix, and to establish their relationship, pain, etc. General inspection of the patient should reveal signs of asexual diseases
- Genetic research must be done to determine the presence of chromosomal mutations (the study of the size of chromosomes, their structure determined and their number)
- laboratory study of hormones. For this study it is necessary to take blood from a vein. The list of necessary hormones designated doctor, often the list depends on the specific situation
- skull x-rays. This procedure is performed to detect pituitary tumors
- MRI is necessary to exclude anatomical features of the body
- ultrasound examination of the organism or ultrasound of the genital organs in order to exclude pregnancy or abnormalities in the structure of the genital organs
- Ultrasound of the thyroid gland and adrenal glands is necessary to exclude tumors or diseases of these organs.
Treatment of amenorrhea is produced in connection with the presence of certain symptoms of amenorrhea and determine the type of disease and its origin. Basically, treatment involves the following
- diet (this is aimed at resolving the mass of the body and restore the normal), in the struggle with obesity or exhaustion
- reduction in the rate of psychological state (if psychogenic amenorrhea), with psychotherapy or taking sedatives
- hormone therapy using different groups of drugs (are prescribed depending on the causes of the disease)
- vitamin therapy (the administration of the different groups of vitamins)
- surgical treatment. To the presence of tumors of various organs or congenital abnormalities in development.
- A healthy way of life. This includes a balanced diet rich in essential vitamins and minerals necessary for normal functioning of the body. Maintaining a normal body weight
- the exclusion of frequent exercise. Not recommended for excessive and constant exercise on the female body
- to avoid mental and emotional stress
- timely treatment of all infectious diseases
- you must follow a regimen of hormonal drugs
- regular visits to the gynecologist, and that is twice a year, even if there are no symptoms. Because then you can detect the disease at an early stage and not to run it.