Treatment principles and medication principles for amenorrhea

What are the treatment principles and medication principles for amenorrhea? Menstruation means that women's menstruation has stopped. Once women's menstruation stops, it means that they have lost their fertility. So how should female friends prevent and treat such a harmful disease? What are the treatment principles and medication principles for amenorrhea?

Treatment principles and medication principles for amenorrhea:

Treatment principles

1. If the hymen is closed or the vaginal septum affects the outflow of menstrual blood, a hymenotomy should be performed. 2. If there is no vagina, an artificial vaginal operation can be performed before marriage. 3. Intrauterine adhesions can be separated by hysteroscopy, and an intrauterine contraceptive device can be placed to prevent re-adhesion. 4. Use estrogen and progesterone for artificial cycle treatment: 0.5 mg of diethylstilbestrol orally, once a day, for 21-26 days; in the next 7 days, take 8-10 mg of medroxyprogesterone or 20 mg of intramuscular progesterone, once a day, for 5 consecutive days. The second course of treatment starts from the 5th day of bleeding, and a course of treatment lasts for 3 to 6 months. 5. Treatment of hypogonadotropin with clomiphene: starting from the 5th day of withdrawal bleeding in the artificial cycle, take clomiphene 50mg once a day for 5 consecutive days; monitor follicular development with B-ultrasound, and when the follicles increase to 20mm in diameter, give HCG5000IU, im. If there is no response after 3 consecutive months, HMG treatment can be used instead: 75IU/day, im, and when the follicle diameter reaches 1824mm, inject HCG500010000IU intramuscularly once. After injection, pay attention to the occurrence of ovarian hyperstimulation syndrome. 6. In addition to supplementing glucocorticoids and thyroxine, Sheehan's syndrome also requires artificial cycle treatment. 7. Pituitary tumors and giant adenomas should be treated surgically; if it is a microadenoma, bromocriptine can be given. 8. In case of hypothalamic insufficiency, artificial synthetic GnRH pulse therapy can be used to induce ovulation.

Medication principles

1. Primary amenorrhea can be treated with medication "A".

2. For secondary amenorrhea, choose a combination of drugs listed in "A" and "B" according to the causative comorbidities.

Dietary principles for amenorrhea

There are many reasons for amenorrhea. In addition to finding out the reasons and giving symptomatic treatment, diet should also follow this principle. People with weak constitutions should eat more foods that are nutritious and nourishing, and that replenish blood and promote blood circulation, such as eggs, milk, jujube, longan, walnuts, mutton, etc. For amenorrhea caused by qi stagnation and blood stasis, you can eat more crystals that promote blood circulation and remove blood stasis, such as ginger, jujube, brown sugar, etc. You can boil brown sugar in water and drink it instead of tea, or take safflower wine orally, etc. For amenorrhea caused by extreme emaciation, special attention should be paid to changing eating habits, eliminating the mentality of refusing to eat, strengthening the comprehensive supply of nutrition, improving the body's nutritional status, and restoring the body to normal. In short, comprehensive and reasonable nutrition will promote the physical and physiological development of adolescent women, enhance physical fitness, and play a positive role in preventing and treating amenorrhea.