Amenorrhoea

Amenorrhoea refers to the complete absence of menstrual periods. It is not a medical condition as such, but presents as a symptom of some medical situation your body is facing, which varies according to the type of amenorrhoea you are experiencing: either primary or secondary.

Causes


Primary amenorrhoea: This can occur in the hypothalamus, pituitary gland or ovaries and is usually due to hormonal imbalances, although it can also be caused by abnormal development of your reproductive system.

Secondary amenorrhoea: Often occurs in patients who:
Have undergone one or more uterine curettages
Have hormonal disturbances such as PCOS
Use oral contraceptives or ultra-uterine devices
Stress, anxiety, depression
Eating disorders
Cancer treatments
Some of the main medical conditions that can cause amenorrhoea include:
Pelvic adhesions
Anovulation
Premature ovarian failure
Hyperprolactinaemia
Thyroid disorders
Uterine malformations
Uterine myomatosis
Obesity
Insulin resistance
Uterine synechiae

Symptoms

Delayed pubic hair growth
Pelvic pain
Pain during sexual intercourse
Hot flushes or hot flashes
Decreased libido
Irritability and frequent mood swings
Galactorrhoea or breast milk production
Frequent headaches
Visual disorders
Weight gain or loss
Swelling of the face, hands and feet
Decreased or increased heart rate
Nervousness, anxiety or depression
Trembling hands
Difficulty concentrating
Acne or skin blemishes
Dry skin and brittle nails

Diagnosis

If you are experiencing fertility problems related to amenorrhoea, it is very important to have a specific diagnosis by a specialist in assisted reproduction.

This is based on a medical examination and a review of your medical history, which may include the following tests:

1. Blood tests to determine specific hormone levels.
- Ovarian hormones
- Pituitary hormones
- Hypothalamic hormones

2. Gynecological vaginal ultrasound.

3. MRI or CT scan of the brain. In case of suspected pituitary tumour or adenoma.

Can I have a baby if I have amenorrhoea?

Often, when the condition causing amenorrhoea is treated, coupled with a doctor's recommendations for a healthy lifestyle, menstrual periods are restored without problem, including fertility.

However, there are occasions when amenorrhoea requires a specific treatment in order to have a baby. If this is your case, the safest and most viable option to become a mother is In Vitro fertilization, and the first step to achieve this is through our Initial program, carried out by experts in Assisted Reproduction.
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