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Amenorrhea

Secondary amenorrhea, dysmenorrheaprimary, amenorrhea, menorrhagia

Amenorrhea is the term used to describe the abnormal absence of menstruation for a long duration of time. There are two types of amenorrhea, primary and secondary, primary amenorrhea is a condition when menstrual cycle has not begun in a girl till the age of 16, and secondary amenorrhea is a condition where the menstrual cycle abruptly stops and does not take place for duration of three months or more. The menstrual cycle may be affected due to several factors; this includes stress, sudden illness or hormonal imbalance.

Pregnancy is a common cause of amenorrhea in young women, this generally happens when the pregnancy is undetected. Other than this, extreme forms of exercise, hypothalamic problems and anorexia may also lead to amenorrhea. The main cause of primary amenorrhea is attributed to genetics or abnormal anatomic condition in young women. This may happen when the reproductive organs have not developed properly during the fetal stage itself and the problem exists due to birth defect. Causes for secondary amenorrhea are attributed to some disorder in ovaries, pituitary gland, hypothalamus and uterus.

Amenorrhea is diagnosed by examining the medical history of the patient. This is scanned for preexisting conditions related to the reproductive system and medications being taken, if any. Other than this physical examination of pelvic area may also be performed. Once the medical history and physical examination has been performed, blood and other tests such as ultrasound, CT or MRI scan, and X-ray may be recommended to detect hormonal or other physical changes.

The treatment methods employed depends on the cause of amenorrhea. The aim of the treatment includes establishing normal menstrual cycle, relieve symptoms of hormonal changes through hormone therapy and prevent complications related to amenorrhea. In case of genetic or anatomical causes, surgery may be considered as an option to correct the condition. Other causes such as emotional stress, extreme physical stress, weight problems and illness can be treated with normal treatments available for the cause.

The main complication that may develop due to amenorrhea is infertility; a woman detected with this condition would be unable to have successful pregnancy unless treated for the cause of amenorrhea. Prolonged amenorrhea may also lead to osteoporosis especially in older women, the reason being depletion in levels of estrogen leading to changes in bone density. Amenorrhea can be prevented in case the underlying cause is excessive physical or emotional stress and weight gain. In cases where the cause can be addressed through medication, normal menstrual cycle may begin once the treatment is over.

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New Vance Clinic
18704 Highway 11 North,
Vance, AL 35490
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(205) 481-8510

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New Wadley Rural Health Clinic
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(334) 445-1421

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Huntsville, AL 35806

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New Norwood Clinic Inc
100 Church Street,
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(205) 647-0526

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New Dykes Veterinary Clinic
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