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Amenorrhea means not menstruating or having a period. There are two types of amenorrhea: primary and secondary. When a girl reaches age 16 and has not had a period, she may have primary amenorrhea. When a woman who has been having periods misses three in a row, she is considered to have secondary amenorrhea. Secondary amenorrhea is more common than primary amenorrhea.
Amenorrhea is a sign of another condition, not a disease itself. Many things can cause it, from low body weight to hormonal imbalances to problems with the pituitary gland. Usually the underlying condition is not serious.
Signs and Symptoms
Symptoms of primary amenorrhea may include:
Symptoms of secondary amenorrhea may include:
Hot flashes, mood changes, depression, and vaginal dryness are common with estrogen deficiency.
What Causes It?
Both primary and secondary amenorrhea can have several causes.
What to Expect at Your Provider's Office
Your doctor may ask you to take a pregnancy test, then do a physical exam, which will include an internal pelvic exam. Your doctor may also order lab tests to check your hormone levels and see how your thyroid is working. Other tests may include computerized tomography (CT) scan, magnetic resonance imaging (MRI), or ultrasound.
Your doctor will see which treatment is right for you based on what's causing the problem. Treatments include hormone therapy, psychological counseling and support, and surgery, among others.
Your health care provider may suggest the following:
Complementary and Alternative Therapies
Staying at a proper weight and exercising the right amount can keep your body healthy. Other alternative therapies may help your body make and use hormones properly.
Nutrition and Supplements
Be sure to eat a healthy diet: Eat fewer processed foods, and eat foods with heart-healthy fats (unsaturated fats) rather than saturated fats. Avoid caffeine and alcohol. Eat more whole grains, vegetables, and omega-3 fatty acids found in cold-water fish, nuts, and seeds. Diets that are very low in fat can raise your risk of amenorrhea. In addition, these supplements may help:
Progesterone is sometimes available as an over-the-counter oral supplement. However, this is a hormone that should never be taken without your doctor's supervision.
The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, can trigger side effects and can interact with other herbs, supplements, or medications. For these reasons, take herbs only under the supervision of a health care provider.
Most of the herbs listed below have not been studied specifically for amenorrhea, but have been used traditionally. Many act like the hormone estrogen in the body. Talk to your doctor before taking them, and avoid these herbs if you have a history or family history of cancers associated with estrogen. That includes breast, cervical, uterine and ovarian cancer.
Wild yam is sometimes said to be a natural source of progesterone, but that is not true. Although it was once used to make progesterone in the laboratory, the body cannot make progesterone from wild yam.
Avoid blue cohosh (Caulophyllum thalictroides). This toxic herb should not be used without strict medical supervision.
There have been few studies examining the effectiveness of specific homeopathic remedies. Professional homeopaths, however, may recommend treatments for amenorrhea based on their knowledge and clinical experience. Before prescribing a remedy, homeopaths take into account a person’s constitutional type -- your physical, emotional, and intellectual makeup.
The following help increase circulation and relieve pain from pelvic congestion:
Acupuncture is believed to improve hormonal imbalances that can go along with amenorrhea and related conditions, such as polycystic ovary syndrome (PCOS). A few small studies of women with fertility problems, which are sometimes connected with amenorrhea, suggest that acupuncture may help promote ovulation.
Acupuncturists treat people with amenorrhea based on an individualized assessment of the excesses and deficiencies of qi located in various meridians. Acupuncturists believe that amenorrhea is often associated with liver and kidney deficiencies, and treatment often focuses on strengthening function in these areas.
Becoming pregnant may be difficult or impossible. Amenorrhea also may cause pregnancy complications.
Amenorrhea can also raise the risk of developing osteoporosis.
Böhnert KJ. The use of Vitex agnus castus for hyperprolactinemia. Quart Rev Nat Med 1997;Spring:19-21.
Cardigno P. Homeopathy for the treatment of menstrual irregularities: a case series. Homeopathy. 2009 Apr;98(2):97-106.
Carr AC, Frei B. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans. Am J Clin Nutr. 1999;69(6):1086-1107.
Chen B-Y. Acupuncture normalizes dysfunction of hypothalamic-pituitary-ovarian axis. Acupunct Electro-Therapeut Res. 1997;22:97-108.
Gabel KA. Special nutritional concerns for the female athlete. Curr Sports Med Rep. 2006 Jun;5(4):187-91. Review.
Heiss G, Wallace R, Anderson GL, Aragaki A, Beresford SA, Brzyski R, et al; WHI Investigators. Health risks and benefits 3 years after stopping randomized treatment with estrogen and progestin. JAMA. 2008 Mar 5;299(9):1036-45.
Hutchins AM, Martini MC, Olson BA, et al. Flaxseed consumption influences endogenous hormone concentrations in post-menopausal women. Nutr Cancer. 2001;39:58-65.
Johnston CS. Recommendations for vitamin C intake. JAMA. 1999;282(22):2118-2119.
Levine M, Rumsey SC, Daruwala R, Park JB, Wang Y. Criteria and recommendations for vitamin C intake. JAMA. 1999;281(15):1415-1453.
Mowrey DB. The Scientific Validation of Herbal Medicine. New Canaan, Conn: Keats Publishing; 1988.
Sourgens H, Winterhoff H, Gumbinger HG, et al. Antihormonal effects of plant extracts; TSH- and prolactin-supressing properties of Lithospermum officianale and other plants. Planta Med. 1982;45:78-86.
Stener-Victorin E, Waldenstrom U, Andersson SA, Wikland M. Reduction of blood flow impedance in the uterine arteries of infertile women with electro-acupuncture. Hum Reprod. 1996;11(6): 1314-1317.
Stener-Victorin E, Waldenstrom U, Tagnfors U, Lundeberg T, Lindstedt G, Janson PO. Effects of electro-acupuncture on anovulation in women with polycystic ovary syndrome. Acta Obstet Gyneol Scand. 2000;79:180-188.
Tyler VE. Herbs of Choice: The Therapeutic Use of Phytomedicinals. Binghamton, NY: Pharmaceutical Products Press; 1994.
Xiaoming M, Ding L, Yunxing P, Guifang X, Xiuzhen L, Zhimin F. Clinical studies on the mechanism for acupuncture stimulation of ovulation. J Tradit Chin Med. 1993;13(2):115-119.
Review Date: 12/31/2011
Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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