How to treat primary amenorrhea

The treatment of primary amenorrhea requires specific measures based on the cause. Common treatments include drug therapy, surgical treatment, and lifestyle intervention. Early diagnosis and targeted treatment can improve the patient's fertility and quality of life.

1. Medication

Drug therapy is a common intervention for primary amenorrhea, especially when it is caused by endocrine or hormonal disorders.

- (1) Hormone replacement therapy: If amenorrhea is caused by low estrogen and progesterone levels, estrogen-progesterone cyclic therapy can be used to regulate the menstrual cycle and restore endocrine balance.

- (2) Ovulation-inducing drugs: For amenorrhea caused by polycystic ovary syndrome (PCOS), the use of clomiphene or ovulation-inducing hormones (such as HCG) can stimulate ovulation.

- (3) Gonadotropin-releasing hormone (GnRH) treatment: This type of drug can be used to restore menstruation and improve ovulation function for amenorrhea caused by certain hypothalamic functional disorders.

Specific medication must be used under the guidance of a doctor, and do not use it blindly.

2. Surgery

Surgery may be necessary for primary amenorrhea caused by a structural disorder. For example:

- (1) Ovarian surgery: If amenorrhea is caused by ovarian hypoplasia or ovarian cysts, surgery can be performed to correct the structural problem.

- (2) Uterine treatment: Congenital uterine dysplasia or structural abnormalities such as uterine septate may require surgical repair.

- (3) Vaginal reconstruction: If vaginal atresia or absence of vagina exists, vaginal reconstruction can be performed to restore normal physiological function.

3. Lifestyle and psychological intervention

Lifestyle also plays an important role in regulating amenorrhea, especially if it is triggered by stress or nutritional issues.

- (1) Enhance nutritional intake: For amenorrhea caused by being underweight or having an improper diet, increasing the intake of high-quality protein, vitamins, and essential fatty acids can help restore endocrine balance.

- (2) Moderate exercise: Regular exercise can improve hormone levels, but excessive exercise should be avoided.

- (3) Stress management: Learning to properly relieve stress, such as meditation, yoga, etc., can reduce psychological burden and restore menstrual function.

Primary amenorrhea requires a personalized diagnosis and treatment plan. If you find a problem, you should seek medical attention in time and receive a detailed examination to clarify the cause. According to the examination results, you can choose drug intervention, surgical treatment or lifestyle adjustment, which will not only help improve symptoms, but also further protect women's reproductive health. If you find abnormal menstruation or amenorrhea for more than half a year, please consult a gynecologist immediately to clarify the cause and receive professional guidance.