How to treat anovulatory amenorrhea

Treatment of anovulatory amenorrhea requires medication, lifestyle adjustments, or surgical treatment depending on the cause. Common causes include polycystic ovary syndrome, thyroid dysfunction, or excessive mental stress. Treatments include oral contraceptives, ovulation-inducing drugs, thyroid hormone replacement therapy, as well as psychological counseling and diet and exercise intervention.

1. Drug treatment is the main method, and appropriate drugs should be selected according to different causes. Patients with PCOS can take oral contraceptives to regulate hormone levels, such as Diane-35 or Yasmin; ovulation-inducing drugs such as clomiphene or letrozole can help restore ovulation; patients with abnormal thyroid function need to supplement thyroid hormones, such as levothyroxine sodium tablets.

2. Lifestyle adjustment plays an important role in improving anovulatory amenorrhea. Maintain a regular work and rest schedule and avoid staying up late; increase your diet to include foods rich in B vitamins and iron, such as whole grains, green leafy vegetables, and lean meat; moderate exercise, such as yoga, jogging, or swimming, can help regulate your endocrine system.

3. Psychological counseling is particularly important for amenorrhea caused by mental stress. Relieve anxiety through psychological counseling, meditation or relaxation training. If necessary, short-term use of anti-anxiety drugs such as alprazolam or paroxetine can be used.

4. Surgical treatment is suitable for patients with organic lesions. For example, endometrial polyps or ovarian cysts can be removed through hysteroscopy or laparoscopy; patients with severe polycystic ovary syndrome can consider ovarian drilling.

The treatment of anovulatory amenorrhea should be combined with the cause and individual situation. Drug therapy, lifestyle adjustment and psychological counseling are the main means, and surgical treatment can be considered when necessary. Patients should have regular checkups, monitor hormone levels and ovulation, and adjust treatment plans in a timely manner to restore normal menstrual cycles and reproductive function.