What should patients with amenorrhea do if they want to have a baby?

Ms. Gao, 35 years old this year, is from Shijiazhuang, Hebei Province. She gave birth to a baby five years ago. Since the relaxation of the couple's two-child policy last year, Ms. Gao and her husband had the idea of ​​having another baby. However, Ms. Gao's menstrual flow has become less and less since her last cesarean section. Since 2014, Ms. Gao has not had her period. She went to the local infertility hospital for a check-up and was diagnosed with secondary amenorrhea. She was given certain treatments, but she is still not pregnant.

What should patients with amenorrhea do if they want to have a baby?

Since Ms. Gao is relatively old and already at an advanced maternal age, in order to get pregnant as soon as possible, Ms. Gao and her husband decided to go to Beijing for medical treatment. For Ms. Gao, who has been experiencing amenorrhea for more than a year, the most important goal at present is to get pregnant quickly. Through the doctor's preliminary examination, the expert pointed out that there are many reasons for amenorrhea, and whether you can have children in the future depends on the cause of amenorrhea. If it can be cured, there is hope of having children, such as pituitary diseases and most systemic diseases. After being cured, most can have children; while congenital absence of uterus has no hope of having children; congenital ovarian dysplasia, etc., can consider using assisted reproductive technology to treat and get pregnant. The key is to clarify the cause of amenorrhea, find the cause, and treat the cause. Judging from the results of Ms. Gao's examination, the situation is relatively ideal, and the chance of pregnancy after treatment is greater. According to the hospital's research on amenorrhea over the years, the most effective treatments include.

① Etiological treatment: After finding the organic disease that causes amenorrhea, appropriate treatment should be given. For example, tuberculous endometritis should be treated with anti-tuberculosis drugs; patients with uterine adhesions should have their uterine cavity dilated and an IUD placed to prevent adhesions; after a pituitary or ovarian tumor is diagnosed, the treatment plan should be determined based on the location, size, and nature of the tumor, and surgery, radiotherapy, chemotherapy, and other measures may be selected.

② Correct the overall health condition: The female reproductive organs are part of the whole body, so the overall health will affect the condition of the reproductive organs. Therefore, the treatment of amenorrhea should first correct the patient's overall health condition.

③ Hormone replacement therapy: Low hormone levels are a common cause of amenorrhea in some patients. These patients need to supplement estrogen and progesterone, which can not only maintain female characteristics and physiological functions, but also improve women's quality of life. Young women generally hope that menstruation can come as scheduled every month, so estrogen and progesterone cycle therapy is effective. Clinicians will develop individualized plans based on the different situations of patients.

④ For amenorrhea caused by prolactinoma, bromocriptine can be the first choice for treatment. Start with a small dose of 1.25 mg, 23 times a day. If there are no obvious adverse reactions, the dose can be gradually increased.

⑤ Ovulation induction treatment: Amenorrhea leads to infertility. In addition to amenorrhea caused by developmental abnormalities, patients with non-ovarian amenorrhea can achieve pregnancy through ovulation induction. Clomiphene and other drugs are commonly used to promote follicle development and ovulation.

⑥ Application of assisted reproductive technology through egg donation: Patients with ovarian amenorrhea do not have their own eggs and can only become pregnant through in vitro fertilization through egg donation.

⑦Surgical treatment: Patients with amenorrhea caused by endometrial damage, pelvic inflammation, pituitary tumors, etc. need surgical treatment. If the pituitary tumor is not large, the tumor can be removed through the nasal cavity under the sphenoid sinus microscope, and the effect is relatively ideal.