What is the Amenorrhea ?

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Amenorrhea or the public is not known as the name of menstrual period, is the state of absence. Infrequent, less than 45 days, menstrual bleeding more than 21 days is considered uneven and should be treated. However, it should be kept in mind that there is a temporal difference between the hemorrhages every month and that there is no bleeding every 30 days.


Reasons for not seeing menstruation

Why do women suffer from malnutrition (Amenorrhea)? The reasons for this are varied and may vary by age. There is a causal difference between a female child who does not see any menstruation and adolescent 50 years old. However, the most common cause of malnutrition between the ages of 20-45 is the pregnancy. Therefore, women who applied to a doctor because of my menstruation are asked first whether they can be pregnant. If not sure, this situation is controlled by tests. Sometimes, even though all kinds of tests are performed, the reason for not being seen may not be found. It should be kept in mind that the psychological state of the person may also be effective. It is possible not to see menstruation during the season transitions, between long and hemispheres, in rapid weight changes and in extreme exercise situations. Shocks and traumas are also among the reasons for not being seen. Menopause is the most common cause of menstruation in older women. A woman who does not have a consecutive number of 6 months is admitted during the menopause period after being diagnosed by laboratory tests. Menopause can sometimes be too early. If this is the case in the family, more care should be taken. In such a case, it is advisable to freeze the eggs so that the woman can maintain her fertility.


How are the reasons that lead to inability to identify? 
If the age and social status of the person is appropriate, the reason for not being able to be seen first is the pregnancy test. If there is no pregnancy, other hormonal tests are performed. Thyroid diseases and some tumors are manifested by non-menstruation and are diagnosed by hormonal tests.


These hormonal tests;
 

  1. For the research of early menopause, the antimüllerian hormone should be examined.
  2. Thyroid hormones affect everything in the body as well as reproductive hormones. Therefore, in the case of non-menstruation, if a different cause could not be found, thyroid measurements should be performed. 
  3. Prolactin measurement is another helpful test. 
  4. FSH, LH and estradiol hormone tests should be performed by considering that menopause may occur in advanced ages. Ultrasound is an inevitable help in the evaluation of people who come with this complaint. Ultrasound, ovarian cysts and tumors can help in the detection of pregnancy. 
  5. If the menstruation is interrupted after abortion and abortion, HSG (uterine film) should be withdrawn considering that there may be intrauterine adhesion (Ascherman syndrome).
  6. In rare cases, Sheehan Syndrome (the destruction of the pituitary gland) can be seen, research should be done. 
  7. In addition, adolescents who have never started their mothers should also undergo genetic research.

Mismatch treatment according to the types
Mismatch can be seen in various ways. These conditions and treatment methods are as follows:

  • Primary amenorrhea . In other words, the fact that a young girl is 18 years old and is not married is called primary amenorrhea. The cause is usually genetic or hormonal. Some people do not have any sense of smell. This is also called Kallman Syndrome. Since the cause of primary menstruation is genetic or hormanal, treatment is determined by considering these criteria. Kallman Syndrome may improve with hormone therapy.
  •  Rokitansky Syndrome: The womb of a female fetus developing in the womb may not develop at all; in this case, the ovaries and hormones are normal, although menstruation occurs. This syndrome is called Rokitansky Syndrome. Women can only have children with a surrogate mother or uterus transplant. 
  •  Secondary amenorrhea: A person is faced with the problem of menstruation. Pregnancy is the largest and most common cause of seclusion. The second natural cause is menopause. However, thyroid diseases, ovarian cysts and tumors cause secondary amenorrhea. According to the woman’s age and complaint, the underlying cause is determined and the treatment is planned. Thyroid diseases and menopause cause hormonal treatment, ovarian cysts and tumors are treated surgically.

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