Amenorrhea - why there may be no menstruation

Amenorrhea - why there may be no menstruation
Primary and secondary

amenorrhea As a result of a variety of adverse factors in women develop menstrual dysfunction. One of the manifestations of violations can be amenorrhea, when menstruation is absent for six months or more. It is important to determine the level at which damage occurred, because it affects the selection of medical tactics volume therapy.

What are the age criteria for amenorrhea

If the girl at the time of the formation of menstrual function is not menstruation, and it does not occur after 16 years, this type of amenorrhea refers to the primary lesion. Some parents postpone visit to the doctor for a long time, considering that menstruation will come with time and that it can not be a sign of pathology. To understand when to seek medical care, we have developed certain age criteria:

If the girl does not come menstruation after 16 years
If the girl is no secondary sex characteristics at age 14
If the girl had developed a timely secondary symptoms, but does not come menstruation for three years after their occurrence

Symptoms of the disease usually diagnosed in adolescence, but in some cases, amenorrhea is detected at an older age (25 years) in the absence of examination and treatment. Age is an important diagnostic criterion, which allows you to combine with other elements to determine the cause of the pathological state.

Attention should be paid not only on age, but on the appearance of the external manifestations of the disease (for example, it may be malformations of the teeth, the pathology of other symptoms). It can be set mismatch indicators of biological and calendar age. If the girls have a similar kind of clinical symptoms, you should not wait for a prescribed age of 16 years for the treatment of a specialist.

Effect on body weight menstrual function

Formation of menstrual function in girls occurs only at a certain body weight . The adipose tissue is the metabolism of sex hormones under the influence of aromatase enzyme systems, so it is important to avoid underweight or overweight . As a teenager, you can often face the fact that girls are starting to strongly adhere to various diets to achieve model appearance . If significant weight loss may stop menstrual function, develop amenorrhea . The girls bring themselves to exhaustion, while developing secondary disorders functional character at the level of the hypothalamic-pituitary . Because of this feedback system varies products ovarian hormones . First, may change the nature of menstruation, they become scarce in terms of blood and irregular . Later comes amenorrhea, required treatment, including the appointment of hormonal drugs with the aim of substitution .

It affects not only the degree of weight loss, as well as the speed with which it occurs. When a rapid loss of more than 15% of the original weight of the hormonal function disorder occurs due to reduced production of specific hormone leptin. The greatest influence on the hormone has a weight loss of more than 10%, at these rates leptin levels reduced by half.

There are many diets that women are trying to use for cosmetic purposes. In the matter of choice of diet is best to get professional advice of a dietitian, diet is not to become the beginning of the problems associated with changes in the reproductive system. Diet can be a part of treatment, but the conduct of diet therapy should be administered under medical supervision to the control of laboratory parameters.

What should be the scope of the survey with amenorrhea

The large number of causal factors in the development of amenorrhea requires a comprehensive examination of patients. In primary amenorrhea should be installed or not there are quantitative, structural abnormalities of the sex chromosomes. Karyotype analysis reveals a variety of mutations (deletions, translocations, mosaicism, and others). Abnormalities of chromosomes lead to the development of gonadal dysgenesis, when the primary amenorrhea develops in the gap or lack of sexual development. Besides patient karyotype analysis carried out an ultrasound scan, examine the state of hormonal levels, which are appointed by the various diagnostic tests with hormonal therapy.

Hormonal tests can accurately establish the level of injury (which developed amenorrhea due to ovarian disease or disorder at the level of the central departments, where the production of regulating hormones). Initially a test with progestins (appointed by progesterone or its analogues for seven days). Have a response in the form of bleeding menstrualnopodobnoe eliminates uterine form of amenorrhea. Rate the result of the sample with the central control of hormones allows the ultrasound scan, during which you can see the dynamics of the growth of the follicle, or the lack of maturation.

To confirm the presence of endometrial pathology that can cause the development of secondary uterine form of amenorrhea, appointed by hysteroscopy, HSG (hysterosalpingography). The most complete information possible to get into the study of the cavity in the process of hysteroscopy. This procedure is both diagnostic and therapeutic. If during the study revealed adhesions or adhesions in the uterine cavity, they are removed under the control of the optical system. Adhesions are one of the reasons for the termination of a woman's menstrual function, their separation, followed by a comprehensive anti-inflammatory and hormone therapy is an integral part of the treatment of amenorrhea.