Is it a disease if I don't have my period at the age of 20?

Is it a disease if I don’t have my period at the age of 20?

Not having menstruation in your 20s is usually a sign of illness, which may be uterine hypoplasia, hymen occlusion, polycystic ovary syndrome, etc.

1. Uterine hypoplasia: If the uterus is an immature uterus, the uterine development of women entering childbearing age will generally remain in the early childhood stage. The endometrium is not fully developed and generally does not fall off, so there will be no menstruation. Under the guidance of a doctor, take estrogen drugs such as estradiol valerate tablets, estrogen tablets, and nialestradiol tablets to promote the improvement of uterine development.

2. Hymen occlusion: It is mainly related to genetic and developmental abnormalities. The main manifestation is that there is no hole in the middle of the hymen, and menstrual blood cannot flow out of the vagina. In this case, the hymen needs to be cut under local anesthesia according to the doctor's advice.

3. Intrauterine adhesion: It can be caused by congenital malformations, endometrial trauma, infection, low estrogen levels, etc., which can lead to partial or complete intrauterine adhesions and abnormal shedding of the endometrium. You can follow the doctor's instructions to use diethylstilbestrol tablets, recombinant human chorionic gonadotropin injections, recombinant growth hormone injections and other medications for treatment. Intrauterine adhesion resection can also be used for treatment.

In addition to the above diseases, you may also suffer from polycystic ovary syndrome, hyperandrogenism, pituitary tumors, etc. You can go to the hospital for a detailed examination to find out the cause and then carry out targeted treatment.