Лечение олигоменореи, признаки и причины редких месячных

Симптомы заболевания

К олигоменорее приводит не сбалансированная работа эндокринной системы. В организме наблюдается порой сильный недостаток женских или наоборот переизбыток мужских гормонов. В результате этих проблем телосложение девушки становится больше похожим на мужское.

Возможно также появление обильной угревой сыпи, избыточной массы тела и гирсутизм —волосатость кожных покровов по мужскому типу. Олигоменорея — заболевание достаточно серьезное, может привести к бесплодию и даже к онкологии.

Причины

Есть 2 вида олигоменореи: первичная и вторичная. Главная причина первичной олигоменореи — дисфункция яичников: гормоны не вырабатываются в достаточном количестве для полноценной работы половой системы. Чаще всего подобная проблема имеет наследственное происхождение.

Причины вторичной (приобретённой) олигоменореи — аборты, гормональные нарушения, анорексия, истощение, сильный стресс, резкая и контрастная смена климата.

Диагностика олигоменореи

Заболевание диагностируется с помощью гормонального обследования и гинекологического осмотра. При выявлении сопутствующих проблем назначаются дополнительную диагностику.

Лечение

Если олигоменорея возникла на фоне ожирения, главную роль в лечении болезни играет сбалансированная диета и умеренная физическая активность. Иногда снижение веса способно вернуть нормальную овуляцию без комплексных вмешательств. Но в большинстве случаев необходимо кропотливое и комплексное лечение.

В клинике «ДалиМед» разработан целый набор методов решения этой проблемы:
Гормональная терапия
Все нарушения менструального цикла связаны прежде всего с дисбалансом гормонов. Часто это либо недостаток женских, либо переизбыток мужских гормонов. Чтобы вернуть их в норму назначают гормональную терапию. Она восстанавливает количество гормонов и работу желез.

Гомеосиниатрия
Уникальный метод лечения, сочетает в себе гомеопатию и традиционную китайскую медицину. Замечателен тем, что охватывает в лечении весь организм.

Гирудотерапия (в том числе и внутривагинальная постановка)
Ферменты пиявки нормализует гормональный фон. Стимулирует силы организма.

Плазмолифтинг
Метод основан на применении плазмы крови самого пациента. Поднимает местный иммунитет. Стимулирует восстановление органов малого таза, нормализуя их работу.

Физиотерапия
Дополняет основные методы лечения. Снимают болевой синдром, стимулируют работу органов, помогают в борьбе с воспалительными процессами.

• Лазеротерапия
• Магнитолазеротерапия
• Электрофорез

Грязелечение
Метод «запускающий» работу органов малого таза. Применяется в санаториях для восстановления нормальной работы организма и иммунной системы

Озонотерапия
Метод лечения озонированным раствором. Может применяться как местно, так и внутривенно. Снимает воспаление и отеки. Стимулирует адекватную работу иммунной системы.

Все методы рассчитаны на нормализацию гормонального фона и стимуляцию иммунной системы.

В целях профилактики олигоменореи следует придерживаться полноценного питания, избегать стресса, эмоциональных и физических перегрузок. И обязательно используйте только те противозачаточные средства, которые выписал врач. Самостоятельно подбирать эти препараты опасно для здоровья.

Помните, что большинство проблем, влияющих на гормональный фон и репродуктивную функцию решаемы. Не затягивайте с лечением — записывайтесь на прием.

90000 Oligomenorrhea: Definition and Patient Education 90001 90002 Oligomenorrhea is a condition in which you have infrequent menstrual periods. It occurs in women of childbearing age. Some variation in menstruation is normal, but a woman who regularly goes more than 35 days without menstruating may be diagnosed with oligomenorrhea. 90003 90002 Periods usually occur every 21 to 35 days. The diagnosis changes to oligomenorrhea after more than 90 days without a period. 90003 90002 In a 2013 study of college women, 17 percent said they deliberately deviated from their hormonal birth control instructions to intentionally reduce their periods.Half of them said they learned how to do this from nonmedical sources. This highlights the need for doctors and patients to communicate better when patients start a birth control plan. 90003 90002 See your doctor if you go more than 35 days without a period and are not on birth control medication. If your cycle suddenly changes, contact your gynecologist. 90003 90002 Some women who skip a period may experience a heavier one the next time. This can be normal and does not necessarily indicate a miscarriage.90003 90002 Oligomenorrhea has various causes: 90003 90014 90015 Most often, this condition is a side effect of hormonal birth control. Some women experience lighter and lighter periods for three to six months after they begin taking the birth control. Sometimes, their periods stop completely. 90016 90015 Young women who participate in sports or engage in heavy exercise can develop this condition. 90016 90015 Eating disorders, such as anorexia nervosa and bulimia, can also cause this condition.90016 90015 Oligomenorrhea is common in adolescent girls and perimenopausal women due to fluctuating hormone levels. 90016 90015 Oligomenorrhea can also occur in women who have diabetes or thyroid problems. 90016 90015 It’s also common in women with high levels of a protein called prolactin in their blood. Medications, such as antipsychotics and anti-epileptics, can decrease menstruation. 90016 90027 90002 It’s important to make sure that the cause of a delayed menstrual cycle is not pregnancy.90003 90002 Oligomenorrhea is usually diagnosed after a review of your menstrual history. Physical exams, blood tests, and ultrasound imaging may be necessary as well. 90003 90002 For the most part, a missed menstrual cycle or light flow does not pose a problem, but it can sometimes indicate the presence of polycystic ovary syndrome (PCOS). The exact cause of PCOS in unknown, but a combination of factors may include insulin resistance, elevated levels of certain hormones, and irregular menstrual cycles.90003 90002 Oligomenorrhea is not serious on its own. Menstrual periods can be adjusted with a change in hormonal birth control use or progestin. 90003 90002 Sometimes, oligomenorrhea can indicate another underlying problem, such as an eating disorder, which needs to be treated. Other women may need to cut back on working out. 90003 90002 Oligomenorrhea usually is not a serious condition, but it may sometimes be a symptom of other problems. Research on menstrual disorders continues. In particular, researchers are studying the role of genetics in menstruation and the relationship between low body fat and hormonal regulation.90003 90002 Having less than four menstrual cycles per year for years that occurs naturally and without medication, such as birth control pills, can increase the risk of endometrial hyperplasia and endometrial cancer. 90003 90002 If you regularly go without a period for more than 35 days, see your doctor. 90003.90000 what is it? Symptoms, causes and treatment of oligomenorrhoea 90001 90002 Modern medicine knows thousands of diseasesfemale reproductive system. This mechanism is very complicated. Every month in the body of the representative of the weaker sex some hormones are replaced by others. First comes the estrogen phase, which is also called the follicular phase. During this period, hormones are produced that promote the growth of follicles. Next comes the time of the luteinizing phase, or the period of the yellow body.Then progesterone begins to be released. It affects the uterus, changing the thickness and structure of the endometrium. If pregnancy does not occur, then approximately 10-14 days after the change of the hormonal background, menstruation begins. Normally, it lasts from three to six days. At the same time, in the first two days of isolation can be quite abundant. 90003 90002 However, not always everything happens as it isdescribed above. For sure, every woman faced in her life with a violation of the menstrual cycle.One of the types of such pathology is oligomenorrhea. What it is? You can get an answer to this question after reading the article. It should be said about the causes and symptoms of the disease. Also consider the main ways to treat a disease called oligomenorrhea. 90003 90006 What it is? 90007 90002 If to speak in scientific language, then oligomenorrhea -a sign of hypomanstrual syndrome. In other words, this is a decrease in the volume that is separated during monthly blood. Causes of pathology can be very diverse.It is from them that the actions of doctors always aim at improving the patient’s condition. 90003 90002 Oligomenorrhea — what is it? This condition negatively affects the health of the fairer sex. Often, in the absence of treatment for a long period, the problem can become very serious. One of the complications of oligomenorrhea is carcinoma (malignant formation). 90003 90006 Varieties of pathology 90007 90002 Doctors report that there is secondary oligomenorrhea and primary. In the first case, we are talking about congenital causes of pathology.These include anomalies of the genital organ and appendages. 90003 90002 Primary oligomenorrhea is a disease thatwas acquired during the life of a woman. The reasons for this can be many. It is worth saying that it is not always the woman who is to blame for the development of the disease. Sometimes the pathology can appear due to a malfunction of the internal organs and systems. 90003 90006 Oligomenorrhea: symptoms of the disease 90007 90002 The problem may appear differentby signs. Among them emit explicit and hidden.The first woman observes independently and can complain about them. Hidden signs of pathology are determined exclusively by a specialist. Consider the main symptoms of oligomenorrhea: 90003 90022 90023 Short menstruation. This symptom is one of the first to indicate the development of a problem. Normal bleeding in a woman lasts about 4-6 days. When oligomenorrhea, this period is reduced to two days. In some cases, the selection may end after a few hours. 90024 90023 Long cycles. Another manifestation of oligomenorrhea are long female periods.However, their duration ranges from forty days to six months. This fact can not be ignored. 90024 90023 A clear symptom of pathology is infertility withthe above signs. Since hormonal imbalance occurs, ovulation simply can not occur. The maturation of the egg is retained only in 20 percent of the representatives of the weaker sex, suffering from oligomenorrhea. 90024 90023 Violation of hormonal background. Secondary oligomenorrhea is almost always accompanied by hormonal disturbances. It is almost impossible to determine this feature by yourself.However, if you take a blood test to determine the level of LH, FSH and other substances, then it is possible to make this diagnosis. 90024 90023 Changes in body weight and skin can besymptom of pathology. When oligomenorrhea occurs rebuilding the female body, as a result of which it becomes more like a male. In some areas, hair appears, the skin of the face acquires increased fat content, the pores are enlarged. All this — the result of a failure in the hormones. 90024 90033 90006 Do I need to treat this disease? How to choose a correction method? 90007 90002 You become aware of the symptoms thatoligomenorrhea.What it is, described above. It is worth saying that the problem can not be allowed to take its course. As you already know, in some cases it can lead to the development of cancer. The manifestation of unpleasant symptoms also knocks out of the usual rut any representative of the weaker sex. 90003 90002 Oligomenorrhea treatment may have a drugand surgical. It all depends on the causes of the disease. That is why it is so important in the development of the above situations to consult a doctor and pass the prescribed examination.Based on your complaints and additional data, the doctor will be able to make the correct diagnosis and correctly assign the correction. Consider the main causes of oligomenorrhea and how to eliminate them. 90003 90006 Congenital defects and anomalies formed during the embryonic period 90007 90002 What causes oligomenorrhea? If you are faced with the manifestation of pathology immediately, at the first menstruation (menarche), then, most likely, the causes of pathology are inborn. In this case, you can not find out about them before the onset of the first menstruation, as the symptoms begin to appear with her arrival.90003 90002 Split uterus, infantilism, educationpartitions are all causes of oligomenorrhea. It is worth noting that congenital pathologies that are not always described are accompanied by scanty periods. The treatment of these problems always has an individual approach. In some cases, doctors are powerless in front of nature. They can not even with the use of modern methods to eliminate a birth defect. However, there are cases that have a happy ending. 90003 90006 Benign and malignant tumor processes 90007 90002 Oligomenorrhea disease often develops according tothe cause of the tumor process.In this case, the pathology can be both malignant and benign in nature. The most common tumors are uterine fibroids, endometriosis, and so on. 90003 90002 Treat the diseases described by surgical andconservative methods. First, doctors try to deal with the problem with medication. So, to eliminate uterine fibroids and endometriosis, drugs such as Zoladex, Lyukrin Depot, Indinol, Epigallat, etc. are prescribed. If the condition of the woman does not improve, then it is necessary to resort to surgical interventions.This may be laparoscopy or laparotomy. For the treatment of fibroids, AMT is often used when the artery supplying the tumor overlaps. 90003 90006 Polycystic ovaries 90007 90002 Oligomenorrhea may develop due topolycystic. It is worth noting that this pathology has other manifestations. When a woman has prolicistic ovaries, ovulation does not occur in a woman. Dominant follicles grow and then turn into cysts. This picture is clearly visible during ultrasound diagnosis. 90003 90002 Treating a problem can be hormonalcorrection.Doctors are trying to influence the body from the outside with the help of synthetic drugs similar to natural ones. If no effect is noted, then laparoscopic surgery is performed. During the manipulation, the doctor makes so-called notches on the ovaries so that the follicle can burst. 90003 90006 Hormonal failure in women 90007 90002 The cause of oligomenorrhea is often called hormonalfail In this case, the necessary substances can be produced, but not at that time and not in such quantity. Often there is an imbalance between the hubbing of FSH and LH.Often affected are steroid and male hormones, as well as substances secreted by the thyroid gland. 90003 90002 Adjust the condition of the woman in this case.can only drugs. It is worth noting that some representatives of the weaker sex have to regularly conduct appropriate supportive therapy. Often, doctors prescribe drugs such as «Janine», «Novinet», «Triregol» and so on. Recall that these drugs also have a contraceptive effect. If you are planning a pregnancy, then they will 90003.90000 Symptoms, causes, home remedies, and treatment 90001 90002 The normal length of a woman’s menstrual cycle is 28 days, but this varies between individuals. Irregular menstruation is when the length of the cycle is more than 35 days, or if the duration varies. 90003 90002 A period, or menstruation, is the part of the menstrual cycle in which the endometrium, which is the lining of the uterus, is shed. This appears as bleeding from the womb that is released through the vagina. 90003 90002 Periods usually start during puberty, between the ages of 10 and 16 years, and they continue until menopause, when a woman is 45 to 55-years old.90003 90002 Irregular periods, also called oligomenorrhea, can occur if there is a change in contraception method, a hormone imbalance, hormonal changes around the time of the menopause, and endurance exercises. 90003 90002 Treatment for irregular periods during puberty and around the menopause is not usually necessary, but if irregular periods occur during the reproductive years, medical advice may be necessary. 90003 Share on PinterestIn regular menstruation, a woman’s cycle follows a predictable pattern.90002 A menstrual cycle lasts around 28 days, but it can vary from 24 days to 35 days, depending on the individual. 90003 90002 Most women have between 11 and 13 menstrual periods each year. Bleeding usually lasts around 5 days, but this too can vary, from 2 to 7 days. 90003 90002 When menstruation first starts, it can take up to 2 years to establish a regular cycle. After puberty, most women’s menstruation is regular. The length of time between each period is similar. 90003 90002 However, for some women, the time between periods and the amount of blood shed vary considerably.This is known as irregular menstruation. 90003 90002 The main symptom of irregular menstruation is when the cycle is longer than 35 days, or if it varies in length. 90003 90002 If there are changes in blood flow, or if clots appear that are more than 2.5 centimeters in diameter, this is also considered irregular. 90003 90002 A number of factors increase the chance of irregular menstruation. Most relate to hormone production. The two hormones that impact menstruation are estrogen and progesterone.These are the hormones that regulate the cycle. 90003 90026 Hormonal influences 90027 90002 Life cycle changes that influence the hormonal balance include puberty, menopause, pregnancy, and childbirth, and breastfeeding. 90003 90002 During puberty, the body undergoes major changes. It can take several years for the estrogen and progesterone to reach a balance, and irregular periods are common at this time. 90003 90002 Before menopause, women often have irregular periods, and the amount of blood shed may vary.Menopause occurs when 12 months have passed since the woman’s last menstrual period. After the menopause, a woman will no longer have periods. 90003 90002 During pregnancy, menstruation ceases, and most women do not have periods while they are breast-feeding. 90003 90002 Contraceptives can cause irregular bleeding. An intrauterine device (IUD) may cause heavy bleeding, while the contraceptive pill can cause spotting between periods. 90003 90002 When a woman first uses the contraceptive pill, she may experience small bleeds that are generally shorter and lighter than normal periods.These usually go away after a few months. 90003 90002 Other changes that are associated with irregular periods include: 90003 90042 90043 extreme weight loss 90044 90043 extreme weight gain 90044 90043 emotional stress 90044 90043 eating disorders, such as anorexia or bulimia 90044 90043 endurance exercise, for example, marathon running. 90044 90053 90002 A number of disorders are also linked to missed or irregular menstruation. 90003 90002 Irregular periods can sometimes indicate a health problem, and some of these can lead to further problems, such as fertility issues.90003 90002 90059 Polycystic ovarian syndrome (PCOS) 90060 is a condition in which a number of small, fluid-filled sacs known as cysts develop in the ovaries. 90003 90002 A woman with PCOS does not ovulate, and she does not release an egg every month. Symptoms include irregular or no periods, obesity, acne, and excess hair growth. 90003 90002 Women with PCOS have unusually high levels of the male sex hormone, androgen, or testosterone. 90003 90002 According to the Office on Women’s Health at the United States Department of Health and Human Services, PCOS affects between 10 percent and 20 women of reproductive age, or up to 5 million American women.Girls as young as 11 years old have been diagnosed with PCOS. 90003 90002 90059 A thyroid disorder 90060 can cause irregular periods. The thyroid gland produces hormones that affect the body’s metabolism. 90003 90002 90059 Cervical or uterine cancer 90060, or cancer of the womb, may, in rare cases, cause bleeding between periods or during sexual intercourse. 90003 90002 90059 Endometriosis 90060 is a condition in which cells that are normally found inside the uterus, called endometrial cells, grow outside it.In other words, the lining of the inside of the uterus is found outside of it. 90003 90002 Endometrial cells are the cells that shed every month during menstruation, so endometriosis is most likely to affect women during their childbearing years. 90003 90002 The cellular growth involved in endometriosis is not cancerous. There may be no symptoms, but it can be painful, and it can lead to other problems. If released blood gets stuck in surrounding tissue, it can damage the tissue, causing severe pain, irregular periods, and infertility.90003 90002 90059 Pelvic inflammatory disease (PID) 90060 is an infection of the female reproductive system. Among women, it is the most common and serious complication of sexually transmitted infections (STIs), apart from AIDS. 90003 90002 If detected early it can be treated with antibiotics, but if it spreads, it can damage the fallopian tubes and the uterus, resulting in chronic, or long-term, pain. There are many symptoms, and they including bleeding between periods and after sex. 90003 90002 Maintaining a healthful lifestyle can help reduce the risk of some of the causes of irregular periods.90003 90002 This includes: 90003 90042 90043 exercising regularly to maintain a healthy weight and reduce stress 90044 90043 following a healthful diet 90044 90053 90002 Some herbal remedies, such as black cohosh, chasteberry, licorice root, and turmeric are all said to help, but research has not confirmed their effectiveness, and they may have adverse effects. It is better to speak to a doctor first. 90003 90002 Treatment, if needed, will depend on the cause. 90003 90002 90059 Puberty and menopause 90060: Irregular periods that occur during puberty or as the woman approaches menopause do not usually need treatment.90003 90002 90109 Birth control 90110: If irregular bleeding is due to contraception, and it continues for several months, the woman should talk to a health care professional about other options. 90003 90002 90059 PCOS and obesity 90060: In cases of PCOS, overweight, or obesity losing weight may help stabilize menstruation. A lower weight means the body does not need to produce so much insulin. This leads to lower testosterone levels and a better chance of ovulating. 90003 90002 90059 Thyroid problems 90060: Treatment for the underlying problem is likely to be prescribed.This may include medication, radioactive iodine therapy or surgery. 90003 90002 90059 Stress and eating disorders 90060: Psychological therapy may help if emotional stress, an eating disorder, or sudden weight loss have triggered irregular periods. This may include relaxation techniques, stress management, and talking to a therapist. 90003 90026 Medication 90027 90002 The doctor may prescribe metformin, an insulin-lowering oral drug for type 2 diabetes, which can help ensure ovulation and regular periods.90003 90002 A low-dose birth control pill that containing a combination of estrogen and progesterone may help. This will decrease androgen production and will help to correct abnormal bleeding. 90003 90002 Alternatively, taking progesterone for 10 to 14 days each month is likely to regulate the periods. 90003 90002 Irregular periods can indicate a problem with fertility, but this is not always so. Ovulation can occur, even while menstruation is irregular. 90003 90002 Here are some things you can do to track ovulation: 90003 90042 90043 Mark any periods on a calendar, and look for patterns.90044 90043 Check for changes in cervical mucus. As ovulation approaches, the mucus will be more plentiful, slippery, clear, and stretchy. 90044 90043 Take your temperature each day and note when it spikes. This can indicate that ovulation is occurring. 90044 90053 90002 If irregular periods are linked to fertility problems, these records will help a doctor reach a diagnosis. 90003 90002 Anyone who is concerned about irregular menstruation should seek medical advice. 90003.90000 Amenorrhea: Types, causes, and treatment 90001 90002 Amenorrhea is when menstruation is absent during the reproductive years, between puberty and menopause. 90003 90002 It is not a disease, and it does not mean that a person is infertile, but it can be a sign of a health problem that needs some attention. 90003 90002 Around puberty, menstruation begins, and then it normally occurs about once a month until the age of 50 years. At this time, periods stop altogether, as menopause begins. 90003 90002 During pregnancy, menstruation also stops, and it is common for it to stop during breastfeeding, too.90003 90002 If menstruation does not occur at times when people normally expect it to, this is amenorrhea. 90003 90002 There are two types of amenorrhea: primary and secondary. 90003 90014 Primary amenorrhea 90015 Share on PinterestAmenorrhea refers to a lack of menstruation, either because periods never started or because they stop. 90002 Primary amenhorrea is when periods do not start during puberty. 90003 90002 According to the National Institutes of Health, if periods do not start by the age of 16 years, the person should seek medical help.90003 90002 Primary amenorrhea is rare. In the United States, it affects fewer than 0.1 percent of individuals. 90003 90014 Secondary amenorrhea 90015 90002 This is when periods start, but then they cease to occur. 90003 90002 This is normal during pregnancy or while breastfeeding, but it may also mean that there is a problem. 90003 90002 In the U.S., secondary amenorrhea is thought to affect around 4 percent of women during their lifetime. 90003 90002 One missing period is not usually a sign of a health problem, although many people will ask for a pregnancy test if this happens.90003 90002 A doctor will consider secondary amenorrhea if an individual: 90003 90034 90035 used to have regular periods and then does not have any for 3 months 90036 90035 used to have irregular periods and then does not have any for 6 months 90036 90039 90002 The cause will probably be different for primary and secondary amenorrhea. 90003 90014 Primary amenorrhea 90015 90002 A common cause of primary amenorrhea is a family history of delayed menstruation. However, sometimes there is a genetic problem.90003 90002 Genetic conditions that can stop the ovaries from working properly include: 90003 90002 A Müllerian defect is a malformation of the reproductive organs. The uterus and fallopian tubes do not form as they should. 90003 90002 There may be a structural problem relating to the genitals that is present from birth. Occasionally, the uterus and fallopian tubes may be missing. Sometimes, there are problems of fusion, in which the tubes do not come together correctly. 90003 90002 In Müllerian agenesis, or Mayer-Rokitansky-KusterHauser (MRKH) syndrome, the ovaries, breasts, and clitoris form correctly, but there is no vaginal opening, and the cervix and uterus may not be properly formed.90003 90002 In this case, reproductive development will not follow the normal pattern, and menstruation may not be possible. 90003 90014 Secondary amenorrhea 90015 Share on PinterestReasons for amenorrhea include pregnancy, changes in weight and exercise, medication, and some health conditions. 90002 Menstruation may stop for a number of reasons. 90003 90002 These include: 90003 90034 90035 a gynecological disorder 90036 90035 serious illness 90036 90035 physical stress 90036 90035 having a very low body mass index (BMI) 90036 90039 90002 When BMI falls below 19, the risk of developing secondary amenorrhea increases significantly.90003 90002 90075 Weight loss, exercise, and stress 90076 90003 90002 Serious weight loss can result from a physical illness or an eating disorder. 90003 90002 Stringent exercise can cause secondary amenorrhea. It is common among competitive long-distance runners and professional ballet dancers. 90003 90002 Severe emotional upheaval or extreme stress can also cause a woman’s periods to stop. 90003 90002 90075 Medications 90076 90003 90002 Some medications, such as progesterone-only contraceptives and a number of psychiatric drugs may cause periods to stop.90003 90002 Other medications that affect menstruation include: 90003 90002 90075 Long-term health conditions 90076 90003 90002 Amenorrhea can also result from a long-term illness, such as: 90003 90034 90035 polycystic ovary syndrome (PCOS) 90036 90035 premature ovarian failure 90036 90035 thalamic pituitary problems 90036 90039 90002 pituitary problems or an underactive thyroid can lead to a hormone imbalance, and this can result in menstrual problems. 90003 90002 These could be due to: 90003 90034 90035 a benign or cancerous tumor in the pituitary gland 90036 90035 an over- or under-active thyroid gland 90036 90039 90002 The main symptom is a lack of menstruation.90003 90002 However, depending on the cause, other symptoms may occur. 90003 90002 These include: 90003 90002 In those with primary amenorrhea, there may be a lack of breast development. 90003 90002 Anyone who experiences these symptoms should seek medical advice. 90003 90002 Amenorrhea is a symptom, not an illness. The doctor will aim to find out why there is no menstruation. 90003 90014 Primary amenorrhea 90015 90002 If an individual has not started menstruating by the age of 16 years, a doctor may ask about their family history and carry out a number of tests.90003 90002 These will include tests to assess the levels of the following hormones: 90003 90034 90035 follicle stimulating hormone (FSH) 90036 90035 luteinizing hormone (LH) 90036 90035 thyroid stimulating hormone (TSH) 90036 90039 90002 They will also carry out a physical examination . 90003 90014 Secondary amenorrhea 90015 Share on PinterestIf you have had regular periods previously and then no menstruation for 3 months, consider seeing a doctor. 90002 A diagnosis for secondary amenorrhea will focus on the underlying cause of the problem.90003 90002 Before carrying out any tests, the physician may ask questions to find out: 90003 90034 90035 at what age menstruation started 90036 90035 whether the person is sexually active 90036 90035 if pregnancy is a possibility 90036 90035 if weight loss or weight gain has occurred , and what kind of exercise routine the person follows 90036 90035 the length and regularity of the menstrual cycle and whether bleeding is heavy or light 90036 90039 90002 They may then recommend a number of tests, depending on what the cause appears to be.90003 90002 These may include: 90003 90034 90035 a pregnancy test 90036 90035 a thyroid function test 90036 90035 ovary function test 90036 90035 androgen and other hormone tests 90036 90039 90002 Imaging tests may include: 90003 90034 90035 an MRI, CT, or ultrasound scan 90036 90035 a hysteroscopy, in which the doctor passes a thin, lighted camera through the vagina and cervix to examine the uterus from the inside 90036 90039 90184 90002 Treatment will depend on the cause. 90003 90014 Primary amenorrhea 90015 90002 Treatment for primary amenorrhea may start with watchful waiting, depending on the person’s age and the result of the ovary function test.If there is a family history of late menstruation, periods may start in time. 90003 90002 If there are genetic or physical problems that involve the reproductive organs, surgery may be necessary. This will not guarantee, however, that normal menstrual cycles will occur. 90003 90014 Secondary amenorrhea 90015 90002 This will depend on the underlying cause. 90003 90002 90075 Lifestyle factors 90076: If the person has been exercising excessively, a change of exercise plan or diet may help to stabilize the monthly cycle.90003 90002 90075 Stress 90076: If emotional or mental stress is a problem, counseling may help. 90003 90002 90075 Excessive weight loss 90076: This can happen for different reasons. The person may need a professionally supervised weight gain regime. If an eating disorder is a possibility, treatment may include a weight-gain regime and counseling sessions with a psychiatrist and a nutritionist or dietitian. 90003 90002 Some health conditions can cause weight loss. A doctor may test for these and offer treatment as appropriate.90003 90002 90075 Underactive thyroid 90076: If menstruation stops because of an underactive thyroid, the doctor may prescribe treatment with thyroxine, a thyroid hormone. 90003 90002 90075 Polycystic ovary syndrome (PCOS) 90076: The doctor will suggest appropriate treatment. If PCOS has led to excess weight, they may recommend a weight-loss diet. 90003 90002 90075 Premature ovary failure 90076: Hormone replacement therapy (HRT) may cause menstruation to return. 90003 90002 90075 Menopause 90076: Menopause starts around the age of 50 years, but sometimes it can start as early as 40 years.Family history can affect this. 90003 90002 If menopause starts early, there is a higher risk of osteoporosis. The person may need treatment to prevent this complication. 90003 90002 Menstruation can stop for a number of reasons. It does not necessarily mean that a person is infertile and can never conceive. 90003 90002 If regular periods cease for 3 months or more, or if irregular periods stop for at least 6 months, the individual should seek medical advice. 90003 90002 In many cases, treatment is available.90003.