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Amenorrhea, or “It doesn’t start with me!”

The nightmare of any woman who did not plan to get pregnant is the situation “It doesn’t start for me!”. The situation becomes even stranger if in the previous months a woman did not lead a sexual life. Or I bought a test and found that there was only one strip. If this has been going on for a month, another, third, then it’s definitely time to see a doctor.

It looks like you have amenorrhea – a pathological absence of menstruation that is not associated with pregnancy and menopause.

Strictly speaking, amenorrhea is the absence of menstruation for 3 months or more. Nevertheless, it is better to consult a doctor from the first month of delay. Firstly, he will nevertheless rule out a possible pregnancy, as well as the so-called false amenorrhea. False amenorrhea is the absence of regulation in the presence of cyclic processes in the uterus and ovaries. It is observed with anatomical malformations of the genital organs: atresia or lack of a vagina, uterine throat overgrowing as a result of cicatricial changes or continuous virgin captivity. False amenorrhea is very dangerous, since the blood released during menstruation, as a result, accumulates in the vagina, uterus or fallopian tubes. Until the next regulation, these formations can resolve, but sometimes the patient has a picture of an “acute abdomen” as a result of blood flowing through the fallopian tubes into the abdominal cavity. The treatment of false amenorrhea is surgical.

With true amenorrhea, the cyclic processes themselves are absent in the ovaries, uterus, or the pituitary-hypothalamus system. Amenorrhea is not a separate disease, but a symptom that indicates other problems. Possible causes of “disappearance” of menstruation:

– sharp weight loss as a result of a rigid diet, excessive physical activity;

– polycystic ovary

– premature menopause;

– hyperprolactinemia (increased hormone prolactin in the blood)

– tumors, abnormalities of the female genital organs, suppurative inflammatory processes, fistulas of obstetric-gynecological origin

– poisoning (morphine, mercury, lead), acute infectious diseases, chronic infections

– violation of the functions of the endocrine glands, especially a decrease in the function of the pituitary gland as a result of inflammation of the tumors or pathological postpartum period

– psychogenic amenorrhea during false pregnancy.

According to statistics, approximately 10% of women aged 17 to 45 years have ever suffered from amenorrhea. The most common causes of amenorrhea from the above factors, doctors call strict diets and sudden fluctuations in weight, physical overload and polycystic ovaries. Therefore, if your cycle has stopped, it is better to consult a doctor right away – 10-20 days of delay is already considered critical.

At the initial examination, doctors immediately pay special attention to weight and height. Often the absence of menstruation can be due to dystrophy or, conversely, excessive obesity: with any of these processes, hormonal and physiological malfunctions in the body occur. As a rule, after the initial examination and conversation with the gynecologist, the woman is sent for a more thorough examination, which is necessary for an accurate diagnosis.

First of all, the doctor conducts pelvic ultrasound to identify polycystic ovaries and determine the thickness of the uterine mucosa. A blood test for the content of female sex hormones is usually also required. Based on their examination results, the specialist diagnoses and prescribes the appropriate treatment, taking into account the individual characteristics of the patient’s body. It is widely believed that in most cases amenorrhea is treated with hormones. Women, fearing the negative consequences of taking hormonal drugs: weight gain, mood changes, drowsiness, etc., are afraid to go to the doctor.

But you still need to contact a specialist, and the sooner the better. Firstly, amenorrhea is a serious problem that can affect your fertility and overall health. If a hormonal malfunction occurs in your body, the malfunctions will gradually affect other organs and systems, and therefore you need to correct it as soon as possible. And most importantly – the treatment of amenorrhea does not always require the use of hormonal drugs. In some cases, a course of vitamins, properly selected herbal medicines, or homeopathy are sufficient. But even if the doctor prescribed hormones – do not be alarmed, they will do much less harm than an untreated disease.

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