Nowadays, we often encounter patients with amenorrhea in hospital outpatient clinics. This type of patient needs to understand the menstrual history, expected date of delivery, when the menstrual flow is light and the time of menopause. It is necessary to understand the pregnant woman's delivery history, the time and condition of her last delivery, whether she has postpartum hemorrhage and shock, the length of breastfeeding, and whether she has taken emergency contraception. Physiological amenorrhea during early pregnancy, lactation or menopause should be eliminated. If there is a history of curettage, there may be cervical adhesions and cervical atresia. If there is menopausal syndrome in women, it may be ovarian failure. Pay attention to the patient's physical and mental health and health status, whether there is any weight change, whether there is gastrointestinal disorder, anemia or chronic active hepatitis, whether there is any psychological trauma and environmental changes. For the above reasons for amenorrhea, the following treatment measures are adopted: 1. Functional imbalance amenorrhea: For normal menstrual patterns, if the menstrual period has not come for more than seven days, women who have sex should first check whether they are pregnant. If not, they may have menstrual disorders. Too much stress, depression, irregular work and rest, fatigue, intense exercise or weight loss can all delay menstruation. You can check your hormone level and do B-ultrasound. If it is not caused by tumors or other related reasons, you can take corpus luteum copper to relieve menstruation, and at the same time you can take traditional Chinese medicine such as Motherwort Granules or Wu Ji Bai Feng Pills. 2. Uterine and ovarian amenorrhea: For women with uterine hypoplasia and ovarian failure, they often take Bujiale and corpus luteum copper for artificial menstrual cycle treatment. 3. Amenorrhea caused by endocrine imbalance: such as polycystic ovary syndrome, you can take estrogen-progesterone synergistic treatment and ovulation-inducing treatment. Thyroid hormone deficiency can be treated with thyroxine, and amenorrhea and lactation syndrome can be treated with bromocriptine. 4. Amenorrhea caused by other reasons: If there is intrauterine adhesion, adhesion dissolution should be performed under hysteroscopy. If there is anemia, the anemia should be corrected and blood and qi should be replenished. Amenorrhea caused by malnutrition requires increased nutrition. |
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