Can you get pregnant if you have amenorrhea?

As women age, their menstruation will gradually disappear after they reach a certain age. This situation is usually called amenorrhea. Generally speaking, women's menstruation and fertility are closely related. After women have amenorrhea, it means that the function of the ovaries is slowly declining. Therefore, the female body will age faster after amenorrhea, which has a great impact on the human body. So, can women with amenorrhea get pregnant?

Can I get pregnant if I have amenorrhea?

Amenorrhea does not lead to pregnancy. Generally, if you don't ovulate after menopause, you won't get pregnant.

But in reality, the decline of ovarian ovulatory function does not mean complete anovulation, especially in the early stage of menopausal transition, ovulation cycles are still common and are gradually replaced by anovulatory cycles. Due to the decline of ovarian function, the original ovulation pattern is disrupted, the ovulation time is difficult to predict, and it is even possible that ovulation occurs more than once in a month. Therefore, pregnancy is still possible in the first few years of menopause, including within one year after menopause. If you don’t want to receive an “unexpected surprise”, it is recommended that menopausal women should still take contraceptive measures.

Common complications after amenorrhea

1. Senile vaginitis. The ovaries of normal women of childbearing age secrete estrogen, which causes the vaginal mucosal epithelium to proliferate and thicken, and has strong antibacterial ability. After menopause, women's ovarian function declines, estrogen levels decrease, glycogen content in epithelial cells decreases, and the pH value in the vagina rises, changing from acidic to alkaline, which is not conducive to the survival of lactobacilli in the vagina, resulting in a weakening of the vagina's self-cleaning function. At the same time, due to the atrophy and thinning of the vaginal wall and insufficient blood supply, local resistance is reduced, making it easy to be infected by other parasitic bacteria in the vagina, causing senile vaginitis. It is often caused by common pathogenic bacteria, such as Staphylococcus, Streptococcus, Escherichia coli or anaerobic bacteria.

2. Osteoporosis. After menopause, estrogen deficiency can cause increased bone absorption, intestinal calcium absorption disorders, decreased calcitonin secretion, reduced bone formation and weakened inhibitory effect on osteoclasts, resulting in increased bone loss. Starting from the menopausal transition period, the average annual bone loss rate is 1% to 3%, or even 5%, which lasts for 5 to 10 years. Then the bone mass is relatively stable, with less loss for about 10 to 20 years. After the age of 70, bone loss accelerates again with aging.

3. Osteoarthritis. The loss of sex hormone protection and abnormal levels of related cytokines in menopausal women play an important role in the pathogenesis of osteoarthritis. Postmenopausal hormone replacement therapy (HRT) has a certain effect on alleviating the pain symptoms of knee osteoarthritis.

Whether a woman can still get pregnant after menopause depends mainly on whether her body is still ovulating. Some women will ovulate after menopause, so there is a possibility of pregnancy. Therefore, it is recommended that if women want to have sexual intercourse during the period just after menopause, they should take contraceptive measures to avoid the risk of unwanted pregnancy.