What should be checked for amenorrhea

Amenorrhea requires examination of hormone levels, endometrial thickness, and ovarian function. Amenorrhea may be caused by endocrine disorders, ovarian dysfunction, endometrial lesions, etc. Medical examinations are required to identify the cause and provide targeted treatment.

1. Hormone level test

Amenorrhea is usually related to endocrine disorders. Common tests include follicle-stimulating hormone FSH, luteinizing hormone LH, estrogen E2, progesterone P, etc. Elevated levels of FSH and LH may indicate ovarian dysfunction, while low estrogen levels may be related to hypothalamic or pituitary dysfunction. Through hormone level testing, the cause of amenorrhea can be preliminarily determined.

2. Endometrial thickness test

By checking the thickness of the endometrium through B-ultrasound, we can understand the state of the endometrium. Too thin endometrium may be related to insufficient estrogen levels, while too thick endometrium may indicate endometrial hyperplasia or lesions. If necessary, hysteroscopy can be performed to directly observe the endometrium and rule out problems such as endometrial polyps and adhesions.

3. Ovarian function assessment

Ovarian dysfunction is one of the common causes of amenorrhea. Anti-Mullerian hormone (AMH) testing can be used to assess ovarian reserve function. Low AMH levels indicate decreased ovarian function. Ultrasound examinations can be used to observe the size of the ovaries and the number of follicles to further understand the state of ovarian function.

4. Other related inspections

If the hormone levels and ovarian function tests are normal, further investigation is needed to rule out other causes. For example, thyroid function tests can rule out thyroid disease, and prolactin level tests can rule out hyperprolactinemia. If necessary, chromosome tests can be performed to rule out genetic diseases such as Turner syndrome.

5. Treatment methods

Treatment for amenorrhea varies from person to person, depending on the test results. Abnormal hormone levels can be regulated through hormone replacement therapy, such as oral estrogen or progesterone. Those with ovarian dysfunction may consider using ovulation-inducing drugs, such as clomiphene. Endometrial lesions require drug treatment or surgical treatment, such as endometrial resection, depending on the specific situation.

The cause of amenorrhea needs to be determined through examinations of hormone levels, endometrial thickness, and ovarian function. Treatment should be based on the specific cause, including hormone replacement, ovulation induction, or surgery. It is recommended to seek medical attention as soon as possible, restore the menstrual cycle through professional examinations and treatment, and avoid the adverse effects of long-term amenorrhea on physical health.