Secondary & Primary Amenorrhea Treatment in Jaipur | No Periods Treatment
What is amenorrhoea?
Amenorrhoea is the absence of menstrual periods in a woman during her reproductive years. Amenorrhoea is classified as either ‘primary’ (menarche not attained by age of 16 years) or ‘secondary’, which is the absence of menstrual periods for six months or more in a woman who has previously been menstruating.
What are the causes of amenorrhoea?
Amenorrhoea is normal before puberty, during pregnancy and breastfeeding and after the menopause. Other causes include defects in hypothalamus, pituitary gland, ovary, uterus or vagina.
What are the signs and symptoms of amenorrhoea?
- Absence of menstrual periods.
- Headaches, visual disturbance due to diseases affecting the pituitary gland.
- Milk discharge from the breasts caused by excessive levels of prolactin hormone.
- Acne, excessive and unwanted hair growth and weight gain is seen in polycystic ovary syndrome.
- Hot flushes, vaginal dryness, poor sleep and reduced libido can be seen in Premature Ovarian Failure.
- Short stature, webbed neck and lack of secondary sexual characteristics are seen in genetic conditions like Turner Syndrome.
How is amenorrhoea diagnosed?
Primary amenorrhoea is diagnosed by a history of lack of menstrual cycles by the age of 16 years whereas secondary amenorrhoea by the lack of menstrual cycles for six months.
Pregnancy test must always be carried out to rule out pregnancy. Other than pregnancy test, initial blood tests include assessment of thyroid, prolactin, follicle stimulating hormone and androgen levels. Imaging tests like ultrasound and MRI might be required to look for local pathology.
What are the long-term complications of amenorrhoea?
Any long-term complication of amenorrhoea often depends on the underlying cause. Women with amenorrhoea are at risk of developing osteoporosis and bone fractures.