- By sahlhealth
- May 18, 2021
- 17 views
Amenorrhea (uh-men-o-REE-uh) is the absence of menstruation â€” one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have Amenorrhea, as do girls who haven’t begun menstruation by age 15.The most common cause of Amenorrhea is pregnancy. Other causes of Amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels. Treatment of the underlying condition often resolves Amenorrhea.
-The main sign of Amenorrhea is the absence of menstrual periods. Depending on the cause of Amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:
- Milky nipple discharge
- Hair loss
- Vision changes
- Excess facial hair
- Pelvic pain
When to see a doctor
-Consult your doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 15 or older.
-During your appointment, your doctor will perform a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, your doctor may examine your breasts and genitals to see if you're experiencing the normal changes of puberty .Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of testing.
-A variety of blood tests may be necessary, including:
- Pregnancy test. This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
- Thyroid function test. Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
- Ovary function test. Measuring the amount of follicle-stimulating hormone (FSH) in your blood can determine if your ovaries are working properly.
- Prolactin test. Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
- Male hormone test. If you're experiencing increased facial hair and a lowered voice, your doctor may want to check the level of male hormones in your blood.
Hormone challenge test
-For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell your doctor whether your periods have stopped due to a lack of estrogen.
-Depending on your signs and symptoms â€” and the result of any blood tests you've had â€” your doctor might recommend one or more imaging tests, including:
- Ultrasound. This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
- Computerized tomography (CT). CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
- Magnetic resonance imaging (MRI). MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.
-If other testing reveals no specific cause, your doctor may recommend a hysteroscopy â€” a test in which a thin, lighted camera is passed through your vagina and cervix to look at the inside of your uterus.
-Treatment depends on the underlying cause of your Amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary.