Understanding Amenorrhoea Disease – Non-menstruation, or in a medical language known as amenorrhea, is a condition in which menstruation does not occur. It is normal to occur before puberty, pregnancy, breastfeeding, and after menopause.

The normal menstrual cycle of a woman involves the interaction between hypothalamus-hypophysis-axis, ovaries, and healthy reproductive organs. Every woman has a different menstrual cycle-bead. However, the average menstrual cycle is 28 days.

Amenorrhea itself is divided into two, namely:

  • Amenorrhea primer. This is a non-occurrence of menstruation in a 16-year-old woman. Primary amenorrhea occurs in 0.1- 2.5% reproductive age women.
  • Secondary amenorrhea. In this type of amenorrhea, menstruation does not occur for 3 cycles. Even in the case of oligomenorrhea (one type of secondary amenorrhea), the amount of blood menstruation is minimal.

In some cases, amenorrhea / no menstruation can occur in the form of infertility. Especially on amenorrhea caused by hormonal disorders then.

amenorrhoea profile
Diagnosis of Amenorrhoea Disease

Diagnosis of amenorrhea / non-menstruation is made through the process of collecting information through a series of interviews. Also, the physician will also perform physical examination and support inspection if required.

On physical examination of amenorrhea / non-menstrual can be found in the following conditions:

  • The failure of the growth of secondary sexual organs-such as breast and pubic hair growth.
  • In other cases, it can also be found in the growth of body growth.

Support checks:

  • At primary amenorrhea. When it comes to secondary sexual development, it is necessary to check the organs of reproduction-such as ovaries, uterus, attachment to the uterus. The examination can be performed with ultrasonography (ultrasound) procedures, hysterosalpingography, hysteroscopy, and Magnetic Resonance Imaging (MRI). If no signs of secondary developmental sexuality are required, FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone) hormone levels are required.
  • In secondary amenorrhea. Of course, the thing to do is to avoid the possibility of pregnancy. After that, Thyroid Stimulating Hormone (TSH) can be checked. Because thyroid hormone levels can affect the level of prolactin hormone in the body.

Also, the levels of prolactin hormone in the body also need to be checked. If the TSH and normal prolactin levels are normal, then the Estrogen / Progestogen Challenge Test is a choice that can be done to see the work of estrogen hormone in the uterus of the endometrium. Furthermore, it can be evaluated with MRI.

Symptoms of Illness Amenorrhoea

The amenorrhea / non-menstrual mark is no occurrence of menstruation at the age of 16 years. The condition may have occurred either with or without secondary sexual development (breast development, pubic hair development).

Also, other suspicious conditions may be if you do not get menstruation but have never had menstruation. Other symptoms depend on what causes amenorrhea.


Treatment of Disease Amenorrhoea

Treatment performed will be adjusted to the cause of amenorrhea / non-menstruation. If the cause is obesity, diet and exercise are the keys to the treatment. Also, learning to deal with stress and reduce excessive physical activity can also help.

Amenorrhea therapy is grouped based on the causes of upper and lower reproductive tracts, the cause of the ovaries, and the cause of the central nervous system.

1. Reproductive Channel

  • Labia agglutination (clumps of labia lips). Treatment can be done with therapy using estrogen creams.
  • The congenital vaginal abnormality, the hymen imperforate (the hymen does not have a hole), and vagina septa (the vagina has a barrier between them). The only possible therapy is a small surgical procedure (incision or excision).
  • Mayer-Rokitansky-Kuster-Hauser syndrome. Treatment is performed with non-surgical action in the form of dilation (widening) of the bulge where the vagina should be. Or it can be done surgical therapy by making a new vagina.
  • Grate the womb. It can be treated with surgery for scarring. The administration of estrogen dose after surgery is also sometimes given for the optimization of healing in the womb 2.

2. Egg loss

  • Disjunctive gonadal. This disorder can be treated with the replacement of growth hormones and sex hormones.
  • Ovarian tumor. To overcome this, surgical procedures can be performed to remove tumors.

3. Central nervous system disorders

  • Pituitary disorders. This disorder can be treated by using dopamine agonists to normalize prolactin levels in the body.
  • Hypothalamus disorders. To overcome this therapy can be done according to the cause.

Cause of Disease Amenorrhoea

Amenorrhea / no menstruation can be caused by many things. Some of these are:

  • Puberty is late
  • Ovarian disorders, such as ovarian tumors, ovarian function failure
  • Hormone production disorders, such as hypothyroidism, Cushing syndrome
  • Severe disease, such as chronic kidney disease
  • Chronic disease treatment
  • Rheumatism
  • The congenital abnormalities in the pregnancy system
  • Chromosome disorders
  • Excessive exercise
  • Not growing the uterus and vagina organs (uterovaginal agenesis)
  • Interference with central nervous system

The most common cause of secondary amenorrhea is pregnancy. If probable pregnancy, breastfeeding, and use of contraceptive methods have been removed, other possible causes are:

  • Stress and depression
  • Lack of nutrition, excessive weight loss, excessive exercise of obesity
  • Hypothalamic and pituitary disorders
  • Egg loss
  • Drugs
  • Chronic illness and asthma syndrome

Prevention of Disease Amenorrhoea

Amenorrhea / non-menstruation can be prevented using stress, adequate alcohol consumption, high nutrition consumption, and consumption of enough water. Also, make sure that you exercise enough.