Amenorrhea is a common condition in women and is divided into primary amenorrhea and secondary amenorrhea. Primary amenorrhea is defined as being older than 14 years old with undeveloped secondary sexual characteristics, or older than 16 years old with developed secondary sexual characteristics and menstruation still coming. Secondary amenorrhea is defined as having had normal menstruation in the past and then not having menstruation for various reasons for more than 6 months or stopping for more than 3 cycles according to one’s original menstrual cycle. Amenorrhea is divided into physiological amenorrhea and pathological amenorrhea. Physiological amenorrhea refers to the absence of menstruation during pregnancy, lactation and after menopause, so women with symptoms of amenorrhea must first exclude physiological conditions such as pregnancy, lactation and menopause. Pathological amenorrhea is complicated by the fact that the normal menstrual flow depends on the normal functioning of the central nervous-hypothalamic-pituitary-ovarian axis and the target organs, such as the uterus and vagina. Therefore, the treatment of amenorrhea requires first identifying the cause and treating the cause, not simply generalizing it, nor can everything be done by adjusting the menstrual flow.
In general: uterine malformation, vaginal atresia, hymenal atresia can be treated surgically; uterine adhesions can be treated by scraping or hysteroscopy; tuberculous endometritis should be treated with anti-tuberculosis; ovarian or pituitary tumors should be clearly diagnosed and treatment methods should be chosen according to the size of the tumor; hormone therapy can also be used to restore menstruation, but the medication must be used under the guidance of a doctor.
In conclusion, amenorrhea should first find the cause of the disease, and under the guidance of a doctor, treatment for the cause is effective.