How to quickly treat amenorrhea?

How can we treat the symptoms of amenorrhea? For many people, it is not easy to treat amenorrhea, because amenorrhea is not a simple matter. It is very harmful to women's bodies. Amenorrhea means no menstruation, and there are many reasons for no menstruation. Many diseases suffered by women are related to amenorrhea. Uterine cancer in women can also cause amenorrhea symptoms. So how can we quickly treat amenorrhea for ourselves?

1. Treatment of the cause

Some patients can resume menstruation after the cause is removed. "For patients with neurological or mental stress causes, effective psychological counseling should be provided; patients with amenorrhea caused by low body weight or excessive dieting or weight loss should adjust their diet and strengthen their nutrition; patients with exercise-induced amenorrhea should appropriately reduce the amount of exercise and training intensity; for amenorrhea caused by the hypothalamus (craniopharyngeal tumors), pituitary tumors (excluding tumors that secrete PRL) and ovarian tumors, the tumors should be surgically removed; for patients with high-Gn amenorrhea containing Y chromosomes, their gonads have malignant potential and should undergo gonadectomy as soon as possible"; amenorrhea caused by reproductive tract malformations and menstrual drainage disorders should be corrected surgically to ensure smooth menstrual blood flow.

2. Estrogen and/or progesterone therapy

Estrogen therapy should be used to treat amenorrhea caused by adolescent sexual immaturity and adult hypoestrogenism. The principles of medication are as follows: for adolescent sexually immature patients, when their height has not yet reached the expected height. Treatment should be started with a small dose, such as 0.5 mg/day of 17β-estradiol or estradiol valerate or 0.3 mg/day of conjugated estrogen; after the height reaches the expected height, the dose can be increased, such as 17β-estradiol or estradiol valerate 1-2 mg/day or 0.625-1.25 mg/day of conjugated estrogen. Promote further development of sexual characteristics after the uterus develops. Depending on the degree of endometrial proliferation, progestogens can be added regularly (see Table 2 for methods) or estrogen and progestogen sequential cyclic therapy can be used. Adults with amenorrhea and hypoestrogenemia should first take 17β-estradiol or estradiol valerate 1-2 mg/day or conjugated estrogen 0.625 mg/day to promote and maintain overall health and sexual development until the uterus develops. It is also necessary to add progestin regularly or adopt estrogen and progestin sequential cycle therapy according to the degree of endometrial proliferation. Natural or near-natural progestins are recommended for cyclical therapy in adolescent women. Such as dydrogesterone and micronized progesterone. It is beneficial to the recovery of reproductive axis function; patients with signs of androgen excess. A progestogen formula containing anti-androgenic effects can be used to treat amenorrhea in patients with a certain level of endogenous estrogen. Progestin therapy should be used regularly (see Table 2 for methods) to allow the endometrium to shed regularly.

3. Endocrine therapy for disease pathology and physiological disorders

According to the causes of amenorrhea and its pathological and physiological mechanisms. Targeted endocrine drug therapy is used to correct the disordered hormone levels in the body to achieve the treatment goal. For example, CAH patients should be treated with long-term glucocorticoids; PCOS patients with obvious signs of hyperandrogenism can be treated with combined estrogen and progesterone oral contraceptives; PCOS patients with combined insulin resistance can be treated with insulin sensitizers; the above treatments can restore menstruation in patients, and some patients can resume ovulation.

When treating amenorrhea, choose the above methods to give regular treatment. When treating the symptoms of amenorrhea, you must also remember to relieve stress from the psychological level. Because many people suffer from this symptom and it is closely related to excessive psychological pressure, if you improve and adjust yourself psychologically, I believe that the disease can be treated in time soon. When treating amenorrhea, you must also choose medication to treat yourself in time.