Primary amenorrhea refers to the absence of menstruation in women over the age of 18. Secondary amenorrhea refers to the absence of menstruation for more than 6 consecutive months after the normal menstrual cycle has been established. Menstruation is caused by the cyclical shedding of the endometrium due to the cyclical regulation of the hypothalamus-pituitary-ovarian axis. Therefore, any organic or functional changes in the hypothalamus-pituitary-ovarian and reproductive tract, especially in the uterus, may cause amenorrhea. Organic and functional abnormalities of other endocrine glands may also affect menstruation and cause amenorrhea. Amenorrhea before puberty, after pregnancy, during lactation and after menopause is normal and not pathological. Abnormal uterine development, such as congenital absence of uterus, too deep curettage, endometrial tuberculosis, congenital absence of ovaries, radiation therapy destroying ovarian tissue, or suffering from severe anemia, chronic nephritis, diabetes, hyperthyroidism and adrenal hyperfunction or hypofunction; environmental changes, fright, fear, excessive tension, fatigue and other reasons may cause amenorrhea. When women have amenorrhea, they should first find out the cause of amenorrhea. If it is normal amenorrhea, no treatment is needed. If it is pathological amenorrhea, the cause must be found out and treated accordingly. Once the primary disease is cured, menstruation will come naturally. Most secondary cases can recover naturally through proper exercise, reasonable work and life arrangements, and elimination of other chronic lesions in the body. |
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