Post Date November, 16 2024
Menopause may be caused by various reasons, and the treatment of the condition mainly depends on the cause. Therefore, it is important to ensure that the cause of amenorrhea is determined during the diagnostic process and appropriate and effective treatment is given.
How is menopause diagnosed?
1、 Medical history and symptoms
During the initial consultation, it is important to discuss the medical history and symptoms that may be related to amenorrhea and affect the diagnosis. This usually includes reproductive health, sexual relationships, the nature of any previous period, and the specific issues of the patient. If women with amenorrhea are active, it is necessary to conduct pregnancy tests. Pregnancy is a common cause of amenorrhea, and even if patients use contraceptive methods, they should often consider sexually active women. Physical examination of the body, including diagnosis of breast enlargement, pubic hair growth, and other sexual developments, can also be helpful.
2、 Blood testing
Blood sample laboratory testing can be used to diagnose amenorrhea and help understand the hormonal imbalances associated with the disease. Blood examination is helpful to monitor thyroid function of thyroid hormone (TSH) level, ovarian function of follicle hormone (FSH) level, pituitary function of prolactin level and testosterone such as androgen.
3、 Other diagnostic tests
Other diagnostic tests may be helpful for imaging testing, such as ultrasound imaging, computed tomography, and magnetic resonance imaging (MRI). If it is suspected that insufficient estrogen is the cause of amenorrhea, hormone stimulation tests may be necessary. This involves using hormone drugs to induce menstrual bleeding. If the cause is not determined by other diagnostic testing methods, it is recommended to undergo hysteroscopy. This involves inserting the camera into the uterus through thin lines of the vagina and cervix, allowing for observation of any lesions in the area.
How to treat menopause?
1、 Changes in lifestyle
Some women may experience amenorrhea due to excessive physical activity and strict dietary restrictions. If this is the case, it is recommended to change your lifestyle and restore your body. This should include a healthy and balanced diet, as well as regular light exercise, without causing too much stress to the body.
2、 Medications
In most cases, oral contraceptives or other hormone treatments can help start menstruation. This normalizes the hormone levels in the body, stimulating ovulation and menstruation as usual. Metformin is a commonly used drug to treat type 2 diabetes, and also helps ovulation. It is determined that thyroid or pituitary gland diseases may be the cause of the disease, and specific drugs may be required to enhance the hormones produced by these endocrine gland. These changes in hormone levels may affect the occurrence of estrogen and progesterone, and may also restart normal menstrual cycles.
