Can amenorrhea be cured?

Whether amenorrhea can be cured depends mainly on the cause of the amenorrhea. Amenorrhea is divided into primary amenorrhea and secondary amenorrhea. Secondary amenorrhea can be cured as long as the primary disease is treated. Primary amenorrhea also has different treatment methods according to the different lesion sites and properties. Some congenital malformations may not be completely cured. Regardless of the cause of amenorrhea, you must go to a regular hospital for examination and further diagnosis and treatment.

Treatment

1. Western medicine treatment

(1) General treatment: Temporary amenorrhea caused by environmental changes or mental trauma can be treated by improving nutrition, strengthening physical fitness, avoiding mental stress and excessive fatigue, etc. For amenorrhea caused by oral contraceptives, the medication should be discontinued for observation.

(2) Endometrial tuberculosis: Treat with anti-tuberculosis drugs.

(3) Endocrine therapy: Applicable to amenorrhea caused by congenital gonadal dysplasia, impaired ovarian function, hypopituitarism, premature ovarian failure, etc.

① Estrogen therapy: used for younger patients with lower estrogen levels.

②Progestin therapy: used for patients with a certain amount of estrogen secretion.

③ Estrogen-progestin therapy: Sequential use of estrogen and progesterone to induce menstrual-like withdrawal bleeding

④ Induce ovulation: Clomiphene, human chorionic gonadotropin, gonadotropin-releasing hormone, etc. can be used. For those with pituitary insufficiency, HMC (postmenopausal gonadotropin) can be used, 75-150u/day, intramuscular injection. After 35 days of medication, if estrogen has not risen, the dosage can be increased to 150-225u/day. If estrogen has risen, the original amount can be maintained or reduced until the follicles mature, which generally takes 7 to 15 days. At the same time as the last injection of HMG or 1-2 days after stopping the drug, give human chorionic gonadotropin intramuscular injection, 500-1000u/time, for 3-4 consecutive days. However, it must be used under B-ultrasound monitoring to prevent ovarian hyperstimulation syndrome.

(4) Surgical treatment

① For those with intrauterine adhesions, dilate the cervix, separate the adhesions, and insert an intrauterine contraceptive device to prevent re-adhesion.

②Surgery can be performed for tumors in the ovaries, pituitary gland, and other parts of the body.

2. Traditional Chinese Medicine Treatment

(1) Kidney deficiency: primary amenorrhea, or late menarche, delayed menstruation with scanty flow, light color, dark texture, gradually leading to amenorrhea, dizziness, tinnitus, soreness of waist and knees, frequent urination at night, scanty vaginal discharge, dull complexion, pale tongue with moist coating, deep, thready and weak pulse, and weak radial pulse.

Treatment method: Nourish the kidney and replenish essence, regulate and replenish Chong and Ren.

Prescription: 15 grams each of Cuscuta australis, Lycium barbarum, Rehmannia glutinosa, Rubus idaeus, Codonopsis pilosula, Polygonum multiflorum, Polygonatum sibiricum, Angelica sinensis, and Ligustrum lucidum, and 10 grams each of Placenta, Epimedium brevicornum, and Cistanche deserticola.

Chinese patent medicine: Shenrong Pills.

(2) Liver and kidney deficiency: abortion, miscarriage, long-term illness or postpartum, gradual decrease in menstrual flow, delayed menstruation, or even amenorrhea, dizziness, soreness of the waist and knees, irritability, hot flashes, scanty vaginal discharge, dry genitals, or even weight loss, sallow complexion, dry skin, hair loss, loss of libido, pale tongue, thin white or thin yellow fur, and weak pulse

Treatment method: Nourish the liver and kidneys, replenish blood and replenish essence.

Prescription: 15 grams each of Rehmannia glutinosa, yam, Ligustrum lucidum, wolfberry, Polygonum multiflorum, Angelica sinensis, and Poria cocos, 12 grams of Cornus officinalis, 10 grams each of Eucommia ulmoides, Cuscuta australis, and Morinda officinalis.

Chinese patent medicine: Fuke Jinwan.

(3) Deficiency of Qi and blood: Menstruation gradually becomes delayed, the menstrual volume gradually decreases, the color becomes lighter and the quality becomes thinner, and then stops. There is fatigue, shortness of breath, laziness to speak, dizziness, palpitations and insomnia, dull hair and skin, pale tongue with a thin white coating, and a thready and weak pulse.

Treatment method: tonify Qi, nourish blood and regulate menstruation.

Prescription: 15 grams each of Codonopsis pilosula, roasted Astragalus membranaceus, Atractylodes macrocephala, Poria cocos, Angelica sinensis, White Peony Root, and Rehmannia glutinosa, 10 grams each of Polygala tenuifolia and roasted Licorice root, 6 grams each of Tangerine peel and Cassia bark.

Chinese patent medicine: Babao Kunshun Pills and Wujibaifeng Pills.

(4) Qi stagnation and blood stasis: Menstruation is irregular, with scant menstruation, which gradually leads to amenorrhea, or a sudden amenorrhea after a fit of rage. There is depression, pain in the chest, ribs, breasts, and lower abdomen, a dark tongue with ecchymosis or spots, a thin white or yellowish tongue coating, and a stringy pulse.

Treatment method: Regulate Qi and activate blood circulation, remove blood stasis and dredge menstruation.

Prescription: 15 grams each of Angelica sinensis, red peony root, Cyathula officinalis, Curcuma zedoaria, Rehmannia glutinosa, 12 grams of peach kernel, 10 grams each of safflower, Citrus aurantium, vinegar bupleurum, Platycodon grandiflorum, Ligusticum chuanxiong, and licorice.

Chinese patent medicine: Xuefu Zhuyu Pills.

(5) Phlegm-dampness obstruction: delayed menstruation, gradual decrease in menstrual flow and eventually cessation of menstruation, fatigue, gradual obesity, chest and abdominal distension, poor appetite and excessive phlegm, excessive vaginal discharge with a white and thick texture, pale and fat tongue with a greasy white coating, and a slippery pulse.

Treatment method: Drying dampness and resolving phlegm, promoting blood circulation and dredging menstruation.

Prescription: 15 grams each of Poria, Atractylodes, and Angelica, 10 grams each of Pinellia, Tangerine Peel, Raw Licorice, Processed Cyperus, Arisaema, Citrus aurantium, Shenqu, and Ligusticum chuanxiong, and 3 slices of ginger.

Chinese patent medicine: Erchen Pills.

[Prevention and care]

1. Actively treat diseases such as late menstruation and scanty menstruation to prevent the disease from further developing and leading to amenorrhea.

2. Keep a good mood, avoid excessive mental stress, and reduce mental stimulation.

3. Adjust your diet, pay attention to the intake of nutrients such as protein, and avoid excessive dieting or weight loss, which can cause malnutrition and trigger this disease.

4. Pay attention to health care during menstruation and postpartum period, and avoid going out in the rain, wading in water, overwork, etc.