Lack of menstruation - amenorrhea

Why is there no monthly period? A disease characterized by a lack of secretion of blood from the uterus is called amenorrhea. It can be primary and secondary.

The primary character is amenorrhea in young girls, when, due to some characteristics of the body, menstruation does not occur. In accordance with this, the true absence of menstruation and false are distinguished. A false delay in discharge is observed with difficulty in the outflow of blood from the uterus. For example, infection of the hymen or atresia of the vagina. In this case, the uterine cycle is preserved, the hormonal background of the girl is in order.

The absence of menstruation with true amenorrhea is observed in pathological conditions associated with damage to target organs or hormonal imbalance in the body.

Thus, the development of the primary absence of menarche can include:

- maternal malnutrition during pregnancy

- effects of alcohol and drugs on the fetus

- hereditary predisposition

- genetic diseases in parents

- premature birth

- artificial feeding of the child

- stresses in early childhood girls.

Secondary amenorrhea is formed after the establishment of a normal menstrual cycle, and is associated with the influence of external factors. The absence of menstruation can be associated with a violation of the connection of the cortex-ovaries-uterus, but can also be triggered by a direct pathology of the internal genital organs.

However, before discussing possible diseases leading to the disappearance of menstruation, it is necessary to dwell on physiological conditions accompanied by the same symptom.

If a woman complains that she does not have a period of 4 months or more, the first thing a doctor needs to think about is pregnancy. Often a situation occurs when a weak half of the population relies on only one negative result of an express pregnancy test. But chorionic gonadotropin does not begin to appear in the blood on the first day of fertilization, and the sensitivity of the tests is also different. Therefore, you must first make sure that the patient is not pregnant.

The second point is a long and exhausting diet, daily exercise and endless stress. All this can also cause a lack of menstruation, with the exception of another pathology.

Diseases that can lead to amenorrhea.

1. Abortion and vacuum aspiration.

Every woman should understand that any invasive intervention has many consequences. Regular piercings can cause sepsis, not to mention abortion.

Most often, termination of pregnancy is accompanied by a hormonal "explosion", which is why the cycle takes a long time to recover, and sometimes a woman simply can not do without the help of hormonal drugs.

2. Inflammatory diseases of the reproductive system of a weak half of the population is one of the most common causes of amenorrhea. In this case, endometrial insufficiency occurs and the reflex regulation of the menstrual cycle is disrupted.

3. Endocrine pathological processes can provoke the absence of menstruation, and for a sufficiently long time. Until the cause of the underlying disease is eliminated, the cycle will not be restored.

4. Violation of the amount of sex hormones is one of the most severe forms of menstrual irregularities. Women note the absence of menstruation for more than three months. In this case, the cycle is never constant, there may be a menstruation twice a month, and then a pause of 4-5 weeks.

In such a situation, a woman needs a full examination and clarification of the causes of hormonal disorders. Treatment consists in the appointment of synthetic hormonal preparations, taking into account the woman’s own background.


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