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Absence of menstruation (Amenorrhea)

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What is absence of menstruation (Amenorrhea)?

Amenorrhea is a medical condition characterised by the absence of menstrual periods in women of reproductive age. It can be divided into two main categories: primary amenorrhea, where a woman has never had a menstrual period by the age of 16, and secondary amenorrhea, where a woman who previously had normal menstrual cycles stops menstruating for three or more consecutive months.

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What are the symptoms of absence of menstruation (Amenorrhea)?

Symptoms of amenorrhea can include:

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  • Lack of Menstrual Periods: The primary symptom is the absence of menstrual bleeding in women of reproductive age.

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  • Other Associated Symptoms: Depending on the underlying cause, women with amenorrhea may experience additional symptoms such as hair growth changes, weight changes, headaches, or vision disturbances.

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What are the treatments available for absence of menstruation (Amenorrhea)?

The treatment for amenorrhea depends on the underlying cause, which can vary widely from person to person. Here are some common approaches:

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  • Lifestyle Modifications: In cases where amenorrhea is related to factors like excessive exercise, stress, or changes in weight, addressing these factors can help restore regular menstrual cycles.

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  • Hormonal Therapy: Hormonal birth control methods, such as birth control pills or hormonal intrauterine devices (IUDs), may be prescribed to regulate menstrual cycles, especially in cases of hormonal imbalances.

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  • Medications: In certain cases, medications like progestin may be used to induce menstrual periods or treat underlying conditions such as polycystic ovary syndrome (PCOS).

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  • Surgery: Surgical intervention may be necessary if amenorrhea is caused by structural abnormalities in the reproductive organs.

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  • Treatment of Underlying Conditions: If amenorrhea is a symptom of an underlying medical condition such as thyroid disorders, hyperprolactinemia, or ovarian dysfunction, treating the underlying condition is a priority.

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  • Fertility Treatments: For women who desire pregnancy, fertility treatments such as assisted reproductive technologies (ART) may be considered to address the underlying cause of amenorrhea.

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It's crucial to consult with a healthcare provider for a proper diagnosis and personalised treatment plan tailored to your specific needs and medical history. Addressing the underlying cause of amenorrhea can help restore regular menstrual cycles and improve reproductive health. If you are experiencing irregular menstruation, consult Dr Daniel Koh today!

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