Amenorrhea is a medical condition characterized by the absence of menstruation in reproductive women. It can be primary or secondary and can be brought on by several conditions ranging from hormonal imbalance to underlying health issues.
The treatment of Amenorrhea depends on the type and underlying cause and mostly includes medications and lifestyle modifications.
Read further to discover the various effective treatments for Amenorrhea.
Amenorrhea Treatments
Amenorrhea is generally classified as primary Amenorrhea and secondary Amenorrhea.
Primary Amenorrhea, also known as Delayed Menarche, occurs when a woman has not experienced her first menstrual period by the age of 15 or 16, mostly due to late puberty.
Whereas secondary Amenorrhea occurs when a woman has previously had menstrual periods but does not menstruate for three or more months.
Each type of Amenorrhea has different treatment approaches.
Let us discuss the treatment options for primary and secondary Amenorrhea individually in detail.
Primary Amenorrhea Treatment
Primary Amenorrhea is generally induced by late puberty or associated with a family history of delayed menstruation. Hence, the condition usually resolves on its own without the need for any medical aid.
If you are diagnosed with primary Amenorrhea, the doctor may advise waiting as you may eventually start menstruating naturally.
However, if Amenorrhea is not managed naturally, doctors may prescribe effective treatments based on the underlying causes, such as chromosomal anomalies, structural defects, hormone imbalances, or chronic diseases.
Let us briefly look at the treatment of primary Amenorrhea.
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Treating chromosomal anomalies: Treatment for Primary Amenorrhea caused by chromosomal defects varies depending on the condition. For example, if Amenorrhea is caused by Turner syndrome, genetic counseling may be advised to address reproductive and other health issues.
Similarly, if genetic conditions such as ovarian failure are the cause behind this condition, medicines like hormonal birth control pills containing Estrogen and Progesterone are needed to regulate hormone levels.
Treating structural defects: If structural or congenital problems, including an imperforate hymen, Transverse Vaginal Septum, or Müllerian Agenesis, are the cause behind primary Amenorrhea, surgery may be required.
Cushing Syndrome happens when the body creates excessive cortisol, leading to symptoms such as weight gain and thin skin.
Treating hormone imbalances: Sometimes, hormonal imbalances, particularly low Estrogen levels, can cause delayed menstruation in women. In such cases, hormone replacement therapy is employed to encourage the development of secondary sexual characteristics and trigger menstruation.
Addressing chronic illnesses: When chronic illnesses like Hypothyroidism or Cushing’s syndrome cause menstruation issues, treating the underlying disease helps restore hormonal balance, thereby overcoming the symptoms of the condition.
Secondary Amenorrhea Treatment
Source: pixelshotJust like primary Amenorrhea, the treatment of secondary Amenorrhea depends on its cause. In most cases, Menopause leads to secondary Amenorrhea, where your doctor suggests medications to manage hormonal imbalances, thus regulating your menstrual cycle.
Additionally, lifestyle changes, hormone therapy, treating the underlying cause, and surgery are also employed to treat secondary Amenorrhea, depending upon the cause.
Lifestyle changes: Sometimes intense physical activity, stress, and being underweight might contribute to secondary Amenorrhea. In such circumstances, lowering stress with yoga and meditation, maintaining a healthy body weight, and exercising moderately can help you restore normal menstruation periods.
Hormone therapy: Based on the cause, hormone treatment may be used to regulate menstrual flow. This may involve Estrogen therapy, Progestin therapy, or combination hormonal contraception. These therapies substitute a hormone that the body is supposed to produce naturally.
Treating the underlying cause: Medical conditions like Polycystic Ovary Syndrome (PCOS) can lead to secondary Amenorrhea by suppressing ovulation. Your doctor recommends medications like Spironolactone to overcome PCOS symptoms, thereby regulating your menstrual cycle.
Surgery: In rare cases, structural issues such as uterine scarring or tumors or cysts in the ovary, uterus, or pituitary gland can cause secondary Amenorrhea. In such circumstances, surgery may be necessary to remove the tumor or the scar tissues that are causing hindrances in normal menstrual flow.
This, in turn, helps to restore regular menstruation.
Homeopathic treatment: Additionally, women with secondary Amenorrhea might benefit significantly from homeopathic treatments.
They not only assist in bringing back delayed menstruation by addressing the underlying problem but are also useful in treating pelvic discomfort, milky discharge from the nipples, hair loss, facial hair, acne, and headaches often accompanied by missed periods.
Some of the commonly employed Amenorrhea homeopathic treatments include medications like Pulsatilla and Sepia.
In some cases, your hypothalamus restricts your regular menstrual flow, leading to Hypothalamic Amenorrhea. Hypothalamic Amenorrhea treatment usually includes medications, dietary changes, and psychological support through therapies like Cognitive behavioral therapy.
To learn more about Hypothalamic Amenorrhea, Read Hypothalamic Amenorrhea Symptoms: A Comprehensive Guide
Conclusion
Amenorrhea is characterized by the absence of menstruation. It is generally classified as primary and secondary Amenorrhea and can occur for several reasons, like hormonal imbalances, stress, or other medical conditions.
Treatment approaches for both forms depend on the underlying cause and mostly include hormone therapy, treating underlying health issues, and lifestyle changes. In some cases, homeopathic medicines can also be helpful in relieving the symptoms.
However, before considering any treatment option, it is essential to consult your doctor to minimize the risk of any complications and ensure the maximum effectiveness of the treatment.
Frequently Asked Questions
Is there any herbal treatment for Amenorrhea?
Yes, Amenorrhea can be treated effectively with herbs.
Foeniculum vulgare Mill. Mentha longifolia (L.) L., Paeonia lactiflora Pall., Sesamum indicum L., and Vitex agnus-castus L. are the five most well-researched and proven herbs for treating Amenorrhea.
What is the treatment of Amenorrhea in athletes?
A healthy diet and exercise intervention program is generally suggested for athletes with Amenorrhea. Regular exercise and diet, including lean proteins, vegetables, nuts, and seeds often recommended for athletes having Amenorrhea.
What is the treatment of Amenorrhea caused by PCOS?
Medications like Spironolactone and Metformin can help in treating Amenorrhea caused by PCOS. Also, lifestyle modifications like a balanced diet and moderate exercise can help manage symptoms.
How long after thyroid treatment does Amenorrhea recover?
Studies indicate that the symptoms of Amenorrhea can be overcome after six weeks of thyroid treatment.
Can I prevent Amenorrhea?
Yes, in certain circumstances, Amenorrhea can be avoided by adopting a healthy lifestyle that includes stress management, moderate exercise, and a nutritious diet.
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