One of the clinical conditions that makes our ladies very worried is the inability to menstruate, which is medically known as amenorrhea.
Even though a girl is 14 years old, her breasts are enlarged and
Lack of development, or secondary sex characteristics such as hair growth
Failure to develop or first menstrual period despite reaching the age of 16
Or absence of menstruation for 3 consecutive months in a woman who has normal menstruation
In this case, menstruation or amenorrhea is mentioned. The inability to menstruate until the age of 16
is called 'primary amenorrhea', and the cessation of menstruation in a menstruating
woman is called 'secondary amenorrhea'.
Girls or women
who come with the complaint of amenorrhea should be investigated and especially their ovarian hormones, thyroid
hormones and prolactin (milk hormone) hormones should be checked.Read More Then
it should be tested whether the patient has enough estrogen; for this purpose, the patient is given progesterone hormone for 5
days and it is monitored whether she/p>
menstruates within 1 week.Patient 1 If menstruation occurs after a week, it is very likely that the patient is not ovulating. Of course, if the patient is an adult patient, it is necessary to make sure that she is not pregnant. If the patient is not ovulating
(anovulation), of course it should be treated. If bleeding does not occur despite giving progesterone for 5 days, either estrogen is insufficient
or the bleeding channels may be closed. It is most common in adult women
The reason is intrauterine adhesions that may occur after abortions.
To understand this, estrogen+progesterone preparations are given to the patient and it is checked whether menstruation
is present. If the uterine lining is adhesive, menstruation will not occur.
In order to understand whether the absence of menstruation is of ovarian or brain origin,
the gonadotroph hormones secreted from the brain along with the ovarian hormones are examined; even though the ovarian hormones are normal, the /p>
If the secreted hormones are at high levels, there may be a mass in the brain that secretes hormones
or there may be insufficiency in the ovaries. Sometimes this situation may improve
and sometimes it does not and early menopause may occur. In some cases,
In patients, the hormones secreted from the brain are at normal levels
but they cannot stimulate the ovaries or the ovaries cannot stimulate this
They are insensitive to hormones.
If all tests are normal, psychological reasons such as stress and sadness may be caused
or rapid weight loss, excessive exercise and environmental and climate changes
Amenorrhoea may also occur due to various reasons.
For a better understanding, we can summarize the conditions of menstruation called amenorrhea
as follows:
developmental disorders; It is a congenital absence of the uterus, tubes and the upper part of the vagina. Although the ovaries are normal, there is no menstruation.
Ascherman syndrome; It is the condition of the inside of the uterus being adherent
due to abortions.
testicular feminization; The person is genetically male, but
Since there is insensitivity to the male hormone, their appearance is like a woman's, even though they have testicles in the abdomen.
Gonodal agenesis; The person's ovaries are not developed.
ovarian failure; It is a state of early menopause.
radiation or chemotherapy; The ovaries lose their functions due to taking shots or taking various medications.
pituitary tumors; Prolactinomas that secrete milk hormones are most commonly seen, and excessive milk hormone levels disrupt the release of other
hormones. In this case, the tumor must be treated first
.
Stress, sadness, rapid weight loss and environmental changes are also causes of amenorrhea
.
As a result, a girl who cannot menstruate at all even though she has reached puberty
For children or women whose periods have stopped even though they have normal menstrual cycles, the cause should be investigated and treatment should be started accordingly
.
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