What are the treatments for amenorrhea?

Amenorrhea is a common endocrine disease in women, which is divided into primary amenorrhea and secondary amenorrhea. Primary amenorrhea refers to women who have not had their first menstruation by the age of 18; secondary amenorrhea refers to women who initially had normal menstruation, but then stopped menstruating for more than 6 months due to illness, drugs or other reasons. There are different treatment methods for amenorrhea in traditional Chinese medicine and Western medicine.

TCM treatment is based on the cause of amenorrhea and treats it according to the syndrome differentiation, and nourishes the body at the same time. TCM believes that amenorrhea can be divided into deficiency and excess. Excess is due to blood stasis and cold coagulation; deficiency is due to damage to Chong and Ren meridians and insufficient qi and blood. Treatment should be based on "draining the excess" and "tonifying the deficiency", and prescriptions should be used in combination with different symptoms. For example, amenorrhea caused by abortion is caused by mechanical damage, so when treating it, it should be considered to include kidney qi and Chong and Ren meridians in order to recover as soon as possible. There are also some women who are born with insufficient kidney qi, have multiple illnesses in childhood, or have excessive sexual intercourse after marriage. These situations often damage the kidneys, which can cause loss of Chong and Ren meridians, emptiness of blood sea, and irregular menstruation. Amenorrhea caused by ovarian insufficiency or premature aging in modern medicine mostly belongs to this category. For such patients, the general principle should be to warm and tonify kidney yang and regulate Chong and Ren meridians. It can be seen that TCM treatment of amenorrhea should first find the cause and treat it according to the syndrome differentiation. In addition, traditional Chinese medicine acupuncture and plaster therapy also have very good effects on treatment, and patients can be treated under the guidance of a doctor.

Western medicine can be divided into systemic treatment, hormone therapy, artificial assisted reproduction, surgical treatment and other methods according to the cause. For example, for amenorrhea caused by intrauterine adhesions, the uterine cavity can be dilated, adhesions can be separated, intrauterine devices can be placed to prevent re-adhesion, and estrogen and progesterone can be used to promote endometrial hyperplasia and exfoliation. For ovarian or pituitary tumors, surgical treatment can be performed after diagnosis. Anti-tuberculosis treatment is given to patients with genital tuberculosis. For patients with congenital ovarian dysplasia, or those whose ovarian function is suppressed or destroyed to the point of functional failure, exogenous ovarian hormone replacement therapy can be used. These patients lack normal follicles and oocytes and do not secrete sex hormones. If estrogen or estrogen and progesterone artificial cycle therapy is given, the patient's physiological and psychological state of estrogen deficiency can be corrected, the reproductive organs and secondary sexual characteristics can be promoted to a certain degree of development, sexual life can be improved, and periodic withdrawal bleeding similar to menstruation can be caused.