How to differentiate and diagnose secondary amenorrhea? What are the treatment methods of secondary amenorrhea

Amenorrhea occurs in our daily life, and its occurrence has a serious impact on female friends. We must attach great importance to it, especially to investigate the secondary amenorrhea after reasonable treatment according to our own conditions.

Causes of secondary amenorrhea

1. Ovarian dysplasia: ovarian dysplasia, no response to pituitary gonadal hormone, no sex hormone and amenorrhea.

2. Polycystic ovary syndrome: polycystic ovary syndrome amenorrhea is secondary amenorrhea, and there are many phenomena of sparse or less menstruation before amenorrhea.

3. Premature ovarian failure: congenital ovarian follicles are too few, or premature ovarian follicles fail for some reason, estrogen level drops, endometrial atrophy, amenorrhea before the age of 40.

4. Ovarian function damage: severe infection, tumor, etc.

5. Thyroid disease: hyperthyroidism is often accompanied by oligomenorrhea and secondary amenorrhea.

Differential diagnosis of secondary amenorrhea

1. Physiological amenorrhea: Physiological amenorrhea is a normal phenomenon. At the early stage of puberty, within 2 or 3 years of the first menstrual period, the ovarian function is unstable. Pregnant women with irregular menstrual cycles produce a large amount of lutein in the ovary, which stimulates the endometrial growth without shedding. Therefore, after delivery without menstruation, the recovery of ovarian function needs a certain period of time. Breastfeeding inhibits the ovary. Women with later menstrual recovery reach the age of 40, the ovarian function gradually declines, and menstruation often amenorrhea within a few months. The amenorrhea during development, pregnancy, lactation and menopause is called physiological amenorrhea, which is a normal phenomenon.

2. Pituitary amenorrhea: amenorrhea caused by pituitary tumor is accompanied by headache, blurred vision, pre-lactation pituitary necrosis amenorrhea, massive postpartum hemorrhage, decreased libido, genital atrophy, inability to fear cold, hair loss.

3. Sports amenorrhea: The amenorrhea of light female athletes during sports competitions and intense training is called sports amenorrhea. Some young women may also have amenorrhea when traveling or working and studying hard. The pathogenesis of amenorrhea is similar to that of this disease. It can also be treated with reference to sports amenorrhea. This disease is mostly related to excessive mental stress, leading to endocrine dysfunction. Traditional Chinese medicine believes that it is caused by excessive mental tension, disordered movement of Qi, imbalance of Chong and Ren functions, and insufficient blood.

4. Ovarian amenorrhea: when the ovary is insufficient or stunted, the ovary is damaged or premature, and there is no sex hormone in the body, the endometrium cannot grow, periodic changes and stripping cannot occur, and menstruation cannot come, which is called ovarian amenorrhea.