Post Date August, 26 2023
Amenorrhea is a common phenomenon that can have serious effects on women's bodies. Especially after the occurrence of amenorrhea, we should pay attention to it. For secondary amenorrhea, we need to adjust it in a timely manner.
What is secondary amenorrhea
Amenorrhea is divided into two types: primary amenorrhea and secondary amenorrhea. Primary amenorrhea refers to a situation where a woman has not menstruated from the beginning, meaning that she has not yet menstruated from the age of 12 to 18. Secondary amenorrhea is a condition in which a woman has experienced a normal physiological period, sometimes without menstruation for more than 3 months due to external and internal reasons.
The common factors of secondary amenorrhea include endometrial damage or adhesions (multiple curettage, excessive damage to the endometrium, uterine cavity adhesions) and tuberculous endometritis, premature ovarian failure and polycystic ovary, ovarian functional tumors, environmental changes, psychological trauma and malnutrition, as well as external factors such as injection of long-acting contraceptive needles or oral contraceptives, amenorrhea and lactation syndrome Han's syndrome (postpartum hemorrhage, shock causing ischemia and necrosis of anterior pituitary tissue, pituitary dysfunction, amenorrhea).
Secondary amenorrhea occurs in women who have not experienced menstruation for 3 months or more after menstruation. Normal women's menstruation is regulated by the endocrine hormones secreted by the hypothalamus pituitary ovary. The pituitary hormone also plays a leading role in regulating the ovarian function and maintaining the Menstrual cycle. When secondary amenorrhea occurs, it is often accompanied by symptoms such as mental depression, irritability, weak waist and knees, dizziness and tinnitus, palpitations, shortness of breath, and fatigue.
Causes of secondary amenorrhea
1. Tuberculous Endometritis: This is because Mycobacterium tuberculosis invades the endometrium, inflames the endometrium, and is damaged to varying degrees, finally, scar tissue appears, resulting in amenorrhea. Therefore, we should treat tuberculous Endometritis without delay.
2. Abnormal pituitary or hypothalamus function: the pituitary can secrete Gonadotropin. Gonadotropin can regulate ovarian function and maintain menstruation. Pituitary dysfunction will affect the secretion of Gonadotropin, and even affect the function of the ovary. If the ovary function is abnormal, it will lead to amenorrhea. In addition, abnormal hypothalamic function can also lead to amenorrhea. There are many reasons for hypothalamic dysfunction, such as mental stimulation, sadness and anxiety, fear and anxiety, tension and fatigue, environmental changes, and cold stimulation. Amenorrhea caused by the hypothalamus is more common.
