How to treat primary amenorrhea

Menstruation is a typical physiological characteristic of women. Various problems may occur during the menstrual process, among which amenorrhea is a typical one. There are many factors that cause amenorrhea, among which primary amenorrhea is a rather complicated condition, so women are very eager to cure this primary amenorrhea. So, how to treat primary amenorrhea? Let’s take a closer look at it below.

(1) Hymenotomy:

Under anesthesia, an "X"-shaped incision is made on the hymen, the edges of the incision are sutured with intestinal sutures, antibiotics are used to prevent infection, and accumulated blood is drained.

(2) Artificial vaginoplasty: Under anesthesia, a transverse incision is made between the vagina and the rectum. Blunt separation is performed to create a gap of 9-10 cm, with a diameter of 3-4 cm. The vagina is then covered with a thigh skin flap or amniotic membrane implant. Insert the vagina model. Change the model daily after opening. After half a year, remove the model for 1-2 hours every day and start sexual intercourse. Gradually increase the removal time. If you stop sexual intercourse for a long time, you still need to place a vaginal model. Patients should learn to change models before discharge. A short vagina can be treated without surgery by using a vaginal model, from small to large, and mechanical expansion until sexual intercourse is satisfied.

(3) Laparotomy: The purpose is to perform a biopsy to determine whether the gonad is a testicle or an ovary. If the testicle is in the abdominal cavity, it should be removed to prevent tumors.

(4) Vulvoplasty: First decide whether to be male or female, and consult a urologist if necessary. For testicular feminization, testicular removal to create a female vulva should be considered. The clitoris may be removed if it is too large due to adrenal hyperplasia.

The above is an introduction to the treatment of primary amenorrhea. I hope it will be helpful to women’s understanding. Generally, there are many factors that cause amenorrhea in women. The treatments for amenorrhea caused by different causes are different. You must understand your condition clearly and then take targeted measures to treat it, so as to achieve the best treatment effect.