For women in their 20’s who still do not have menstruation, it belongs to primary amenorrhea, which is mostly related to uterine dysplasia, hymen atresia, endocrine disorders and so on, and the treatment should be based on the cause of the disease through medication, surgery and other ways of treatment.
1. Uterine dysplasia: If a woman is born without a uterus or with an infantile uterus, it will cause amenorrhea. For women who are born without a uterus, they will not have menstruation; for women with an infantile uterus, they can be treated with estrogen and progesterone as prescribed by the doctor.
2. Hymenal atresia: If women have cyclic abdominal pain and a purple-blue abnormal mass at the vaginal opening, they should be alert to the occurrence of hymenal atresia, which requires surgical incision of the hymen to ensure that the menstrual blood flow is smooth.
3. Endocrine disorders: if women have polycystic ovary syndrome, hypothyroidism, adrenal tumors and other endocrine diseases, may also cause amenorrhea, then you can follow the doctor’s instructions to use progestin preparation, short-acting contraceptive pills, levothyroxine sodium and other medications, and if necessary, need to be surgical removal of adrenal tumors, pituitary tumors and so on.
For 20-year-old women who do not have menstruation, it is recommended that they go to the gynecology department of a regular hospital to improve ultrasound, sex hormones and other related examinations, and to clarify the cause of the disease under the guidance of the doctor to actively treat.