How to treat amenorrhea?
Normally, a woman’s menstrual cycle should be stable and permanent. And if for some reason failures occur, amenorrhea can develop. Find out what it is and how to remove it.
What it is?
Amenorrhea is the absence of menstruation in women of childbearing age (from 14-16 to 45 years) for a period of more than six months. This is not an independent disease, but rather a separate symptom that accompanies various deviations. According to statistics, about 2-3% of women and girls face such a problem.
Amenorrhea is divided into several types. Depending on the features of the development of the state, the primary and secondary are isolated. Primary is the complete absence of critical days in girls older than 14-16 years. In this case, menstruation never occurred, and their absence may be accompanied by a slowdown or arrest of sexual development. Secondary form - the absence of menstruation for six months in women and girls who previously observed critical days.
Also distinguish false and true amenorrhea.With the latter, menstrual flow does not form at all, and with the former, they are, but cannot come out of the uterus in a natural way due to any obstacles, for example, malformations of the genital organs.
If the classification is based on the reasons for the development of amenorrhea, then we can distinguish the following types:
- Iatrogenic occurs on the background of surgical interventions, for example, removal of the ovaries or uterus. Also included in this category are cases of taking certain medications that affect hormonal and reproductive systems.
- Amenorrhea of central genesis is caused by impaired brain function.
- Postpartum amenorrhea is observed in the postpartum period and is triggered by the hormonal changes occurring in the body.
- Lactation occurs during the breastfeeding period and is caused by them. The absence of menstruation is the result of hormonal changes, which act as a kind of protective mechanism against the recurrence of pregnancy.
- Pathological amenorrhea develops against the background of the pathologies of the genital and some other organs that have a direct effect on the hormones and the functioning of the reproductive system.
- Endocrine amenorrhea is the result of endocrine disruption.
The main symptom of amenorrhea is the absence of menstruation, observed for six months or longer. But quite often other symptoms, such as aching or acute cramping pain in the lower abdomen (they can occur on the expected days of menstruation), hot flashes, dizziness and headaches, weakness, depression, drowsiness, drowsiness, depression libido, changes in sexual characteristics (lack of severity or similarity with men), nausea, increase or engorgement of the mammary glands, changes in body weight (its increase is most often observed), excessive hair growth of skin s, irritability, changes in body proportions with primary amenorrhea (long limbs, overly narrow hips, short body).
What causes amenorrhea?
The possible causes of amenorrhea are many and varied:
- certain genetic abnormalities and anomalies arising at the stage of the formation of the fetus and due to changes in the number of chromosomes or the structure of DNA;
- some pathologies and malformations of the genital organs, such as atresia of the cervix or vagina, complete fusion of the hymen;
- malfunctions in the ovaries, their diseases: polycystic, cysts or malignant tumors, resistance, chronic oophoritis (inflammation of the sex glands), exhaustion of appendages;
- disorders in the brain, namely, the departments responsible for the functioning of the reproductive system and the hormonal background - the hypothalamus and pituitary gland, as well as their tumors;
- other malfunctions in the functioning of the brain or central nervous system: exacerbation of mental illness (schizophrenia, psychosis);
- pathologies of the structure of the uterus, such as thinning or damaging the lining layer of the endometrium (as a result of previous surgical interventions or diseases), changes in shape and deformation, adhesions;
- amenorrhea can begin after severe stress, emotional stress or psychological trauma,
- acquired or congenital diseases of the adrenal glands, the cortex of which produces hormones;
- endocrine disorders, for example, diseases of the thyroid gland, such as hypothyroidism, thyrotoxicosis, hyperteriosis, thyroiditis;
- in a girl who is actively involved in sports, amenorrhea can develop as a result of intense physical exertion, especially permanent;
- early menopause;
- avitaminosis or acute deficiency of certain substances in the body;
- Amenorrhea is often observed with a sharp or extreme weight loss, fasting or strict dieting.
Various methods are used to diagnose amenorrhea, for example, ultrasound examination of the reproductive system, gynecological examination on the chair, blood tests for hormones (sex, thyroid gland), biochemical blood analysis, genetic tests, X-ray, endoscopic methods, magnetic resonance imaging, visits to narrow specialists - an endocrinologist, a psychologist or a psychiatrist, a neurologist.
How to treat amenorrhea?
Treatment of any form of amenorrhea should be aimed at eliminating the causes of its development, only in this case it will be possible to restore the menstrual cycle. The main possible directions of therapy are discussed below.
Hormonal treatment may include the following groups of drugs:
- Estrogens are used for violations of the functioning of the ovaries and delayed sexual development.
- Progestogens can be administered both in the primary form of amenorrhea and in the secondary.
- Analogs of the so-called gonadotropin-releasing hormones are recommended for polycystic ovarian disease and for malfunctioning of the hypothalamic-pituitary system;
- Combined modern oral contraceptives are recommended for hormonal disruptions.
- Antiestrogens provoke ovarian hyperstimulation.
The scheme and duration of the course of hormones can only be determined by a gynecologist after a thorough examination.
With other problems, the doctor may prescribe other drugs:
- Vitamins are recommended for beriberi and compensate for the deficiency of certain substances.
- Thyroid hormones and iodine-containing agents are indicated for endocrine disorders.
- Sometimes homeopathic and herbal remedies that affect hormonal levels, as well as the work of the adrenal cortex, hypothalamus, pituitary and ovaries, improve the situation.
- For stress and psychological trauma, sedatives or antidepressants may be recommended.
- In inflammatory diseases, nonsteroidal anti-inflammatory drugs are indicated.
To adjust the menstrual cycle, you need, first of all, to revise nutrition. The diet should be balanced, so include foods rich in complex carbohydrates, proteins and vegetable fats. It is important to control body weight, avoiding drastic weight loss and significant weight gain. Therefore, try to exclude from the menu fatty, sweet, flour, fast food, semi-finished products.
Avoid intense physical exertion, but at the same time maintain activity and try to move more. Do not allow strong stress and feelings, watch out for the emotional background and mental state. You also need to monitor the health and timely solve problems.
Surgical intervention is indicated for tumors or cysts of the ovaries, uterus, adrenal cortex, pituitary gland or hypothalamus. The operation will eliminate amenorrhea, provoked by genital malformations.
With amenorrhea, you can use some folk remedies:
- A decoction of parsley, cooked from three tablespoons of greens, filled with two glasses of water.Boil the mixture for ten minutes, strain and drink throughout the day.
- Boil on a small fire a glass of onion peel, filled with 500-600 milliliters of water. Strain the product and take one hundred milliliters three times a day before meals.
- In some cases, the effective uterine uterus, which can be used in various ways in the form of infusions and decoctions.
Amenorrhea is a serious problem. But it is completely solvable, if you identify it in time, consult a doctor and start acting.
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