What should adolescent women do if they have amenorrhea?
Asked by:Cecily
Asked on:Mar 28, 2026 06:49 AM
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Chiara
Mar 28, 2026
Some girls have several months between their menarche and their second menstruation, or their menstruation is irregular within one or two years, or the interval between two menstruation is relatively long, which cannot be counted. amenorrhea . This is because their reproductive organs have not yet matured and their ovarian functions are not yet complete, which is a normal physiological phenomenon.
There are many causes of amenorrhea, the common ones are the following:
(1)disease . Mainly include wasting diseases, such as severe tuberculosis, severe anemia , malnutrition, etc., unique endocrine diseases, such as "obesity reproductive incompetence malnutrition", etc.; The influence of some endocrine system disorders in the body, such as adrenal gland, thyroid gland, pancreas and other functional disorders. Due to these reasons, menstruation may not occur. However, as long as the amenorrhea caused by these conditions is cured, menstruation will come naturally.
(2) Atresia of the lower reproductive tract. like Uterus Some parts of the neck, vagina, hymen, labia, etc. have congenital atresia, or acquired adhesion atresia caused by acquired damage. Although menstruation occurs, menstrual blood cannot flow out. This condition is called latent or pseudoamenorrhea. Atresia of the lower reproductive tract is completely curable with medical treatment.
(3) The reproductive organs are imperfect or underdeveloped. Some people are congenitally without ovaries, or the ovaries are infertile, or the ovaries are swollen and cannot produce estrogen and progesterone. Therefore, the endometrium cannot undergo cyclic changes, and the endometrium will not shed, so there will be no menstrual cramps. There are also cases where the uterus is congenitally absent, the endometrium is underdeveloped, or the endometrium is damaged. Even if the ovaries are functional and estrogen and progesterone are secreted normally, menstruation will not occur.
(4) Tuberculous endometritis. This is because tuberculosis bacteria invade the endometrium, causing inflammation and damage to the endometrium to varying degrees, and eventually scar tissue appears, causing amenorrhea. Therefore, if you have tuberculous endometritis, you should treat it promptly without delay.
(5) Abnormal function of the pituitary gland or hypothalamus. The pituitary gland secretes gonadotropins. Gonadotropins regulate ovarian function and maintain menstruation. If the function of the pituitary gland is imbalanced, it will affect the secretion of gonadotropins, which will affect the function of the ovaries. Abnormal ovarian function will cause amenorrhea. In addition, abnormal function of the hypothalamus can also cause amenorrhea. There are many reasons for hypothalamic dysfunction, such as mental stimulation, sadness and worry, fear and uneasiness, tension and fatigue, environmental changes, cold stimulation, etc. Amenorrhea caused by the hypothalamus is more common.
If you find amenorrhea, you should go to the hospital immediately Hospital , find out the cause of the disease and treat it symptomatically, and you will generally get satisfactory results. Don't hide your illness and avoid medical treatment. Otherwise, the longer the amenorrhea lasts, the more severe the uterus will shrink and the worse the treatment effect will be. puberty female The question of whether amenorrhea can be cured depends on the cause of amenorrhea.
For example, secondary amenorrhea in adolescence is mostly caused by environmental changes, mood swings and weight changes. After these causes are removed, menstruation can gradually resume. A small number of amenorrhea caused by disease, such as polycystic ovary Syndrome, thyroid dysfunction, tuberculosis bacteria, etc., menstruation can also be restored after treatment.
However, some types of amenorrhea cannot be cured, such as those caused by being born without a uterus, the uterus is too small, or the endometrium has been damaged due to lesions, etc., which cannot be cured. Regardless of the situation of amenorrhea, it must be checked clearly. Even for amenorrhea that cannot be cured, it is necessary to check clearly to determine the impact on the future.
Generally speaking, women whose amenorrhea cannot be cured can get married in the future, but they just cannot have children. When looking for a partner, they should make it clear to the other party. If they get married on the basis of full understanding and trust, they will be happy even if they don't have children.
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