Understanding the cause of amenorrhea is more helpful for diagnosis

When a woman has regular menstruation but has not had her menstruation for more than 3-5 months, it is called secondary amenorrhea. There are many reasons for secondary amenorrhea, which can be determined by understanding the following aspects:

(1) Ask about the patient’s age: Married women of childbearing age should consider pregnancy, while menopausal women should consider whether they have reached menopause.

(2) Understand the onset of the disease: If the onset of the disease is not long, or occurs occasionally, the onset of the disease should be questioned to see if there are obvious predisposing factors, such as mental stimulation, excessive tension, cold stimulation, environmental changes, malnutrition, etc. These factors can lead to the inhibition of central nervous system function, thereby reducing the secretion of pituitary gonadotropin and causing amenorrhea.

(3) Find out whether you are taking contraceptives: Long-term use of contraceptives, especially long-acting contraceptives, can cause amenorrhea due to the suppression of pituitary gonadotropin secretion.

(4) Other causes: Other common diseases that cause secondary amenorrhea include endometrial tuberculosis, intrauterine adhesions caused by damage to the endometrium after multiple intrauterine surgeries, polycystic ovary syndrome, premature ovarian failure, and amenorrhea and galactorrhea syndrome.