Dr. Manasi Thakur | Gynaecologist In Nagpur | Pregnancy, Delivery | Abortion | Cosmetic Gynecology
Secondary & Primary Amenorrhea Treatment in Nagpur | No Periods Treatment
What is Amenorrhea?
Amenorrhea is the absence of menstrual periods in a woman during her reproductive years. It is classified as:
Primary Amenorrhea – Menstruation has not started by the age of 16 years.
Secondary Amenorrhea – The absence of menstrual periods for six months or more in a woman who previously had regular cycles.
Causes of Amenorrhea
Amenorrhea is natural before puberty, during pregnancy, breastfeeding, and after menopause. However, other causes may include:
Disorders of the hypothalamus or pituitary gland
Ovarian dysfunction
Uterine abnormalities
Vaginal structural issues
Signs and Symptoms of Amenorrhea
Absence of menstrual cycles
Headaches, vision problems (pituitary gland disorders)
Milk discharge from breasts due to high prolactin levels
Acne, weight gain, and unwanted hair growth in Polycystic Ovary Syndrome (PCOS)
Hot flushes, vaginal dryness, poor sleep, and reduced libido in Premature Ovarian Failure
Short stature, webbed neck, and absent secondary sexual characteristics in Turner Syndrome
Diagnosis of Amenorrhea
Primary Amenorrhea: No periods by age 16
Secondary Amenorrhea: No periods for six months in a previously menstruating woman
Tests:
Pregnancy test (first step to rule out pregnancy)
Blood tests (thyroid function, prolactin, FSH, androgen levels)
Imaging tests (ultrasound, MRI to detect local pathology)
Long-term Complications of Amenorrhea
Complications depend on the cause but may include:
Osteoporosis
Bone fractures
Hormonal imbalances leading to infertility