How is adolescent amenorrhea to return a responsibility?
summary
Different from menopause of menopausal women, there are mainly two kinds of adolescent amenorrhea, but in life, many people are not very aware of this early symptoms, and the disease is quite serious when it comes on. One is primary amenorrhea, that is, women over the age of 18 still have no menarche, and the other is secondary amenorrhea, that is, they have had normal menstruation, but for some reasons they have not had menstruation for more than 6 months, or they have stopped more than 3 cycles according to the original menstrual cycle. Here we mainly discuss secondary amenorrhea. Now let's share with you how puberty amenorrhea is going on?.
How is adolescent amenorrhea to return a responsibility?
The first reason is that the disease factors are consumptive diseases, such as severe pulmonary tuberculosis, severe anemia, malnutrition, etc; Specific endocrine diseases, such as "obesity, reproductive impotence, malnutrition", etc; The influence of some endocrine glands in the body, such as adrenal gland, thyroid gland, pancreas and other functional disorders. Due to the influence of these factors, menstruation is often absent.
Second: reason two: the reproductive organs are not sound or dysplasia. Some people have congenital absence of ovaries, or ovarian dysplasia, or ovarian damage, can not produce estrogen and progesterone, so the endometrium can not have periodic changes, there will be no endometrial shedding, so there will be no menstruation. Some congenital absence of uterus, or endometrial dysplasia, or endometrial damage, even if the ovarian function is sound, estrogen and progesterone secretion is normal, will not menstruation.
Third: reason three: hypothalamic dysfunction, tuberculous endometritis and abnormal pituitary and hypothalamic function can also cause amenorrhea. There are many causes of hypothalamic dysfunction, such as mental stimulation, sadness, anxiety, fear, fatigue, environmental change, cold stimulation and so on. Amenorrhea caused by hypothalamus is more common.
matters needing attention
1. For anorexia patients with amenorrhea, they should be under the guidance of gynecological endocrinologists, estrogen supplement therapy, and gradually restore the normal ratio of androgen and estrogen and normal metabolism on the basis of increasing adipose tissue. 2. At the same time, psychological treatment was carried out to relieve psychological pressure. Among them, the care of family members is particularly important. 3. Correct the behavior, change the environment appropriately, change the old habit slowly, promote the diet gradually, increase the weight by 1-2kg per week. 4。 Antidepressants can be used if necessary. Patients with severe malnutrition should actively take nutritional support programs and be hospitalized if necessary.
