When does amenorrhea indicate fertility problems? – VnExpress

Pregnancy and polycystic ovary syndrome (PCOS) can cause missed periods, missed periods, and women who have missed periods for 3 consecutive months should see a specialist.

Most women will experience irregular periods at least once in their life. Menstruation is considered abnormal if: the menstrual cycle is short, lasting only 21 days or too long, 35 days or more, the cycle length changes continuously…

Causes of missed period, missed period

Pregnancy is the most common cause of not having a period. This is a normal physiological state and usually menses will return within a few months of giving birth. Girls going through puberty for the first time or women approaching menopause can also experience irregular periods due to hormonal changes. Irregular periods can also be caused by an intrauterine device (IUD) or birth control pills, excessive exercise, rapid weight loss or gain, stress, etc. These causes are not cause for concern, just Changing a few habits and lifestyle can make your period return to normal.

Menstrual irregularities, missed periods can be caused by hormone disorders or diseases such as PCOS, endometriosis. Image: Diag

However, certain medical conditions such as hypothyroidism, hyperthyroidism, pituitary disease or PCOS can also cause irregular periods. Irregular menstrual periods, amenorrhea (called oligomenorrhea) and amenorrhea and amenorrhea (amenorrhea) are common symptoms of PCOS. About 4-20% of women of childbearing age have PCOS. The disease is characterized by higher than normal levels of testosterone, creating an imbalance of female sex hormones. PCOS is also the most common cause of ovulatory infertility in women. The disease is usually diagnosed when a woman has at least two of the three accompanying symptoms: high levels of androgens such as testosterone (excessive body hair), irregular menstrual cycles, ovarian cysts, etc.

Women who have missed periods for at least three consecutive periods or girls 15 years of age or older who have not had a period need to see an obstetrician to find out the cause and get timely treatment.

Risks and complications

Women with irregular periods may have an increased risk of endometrial cancer. During the menstrual cycle, under the influence of estrogen, the lining of the uterus increases and thickens. If ovulation does not occur, the lining does not ovulate and progesterone does not rise as it should. This causes the endometrium to grow much thicker than normal and contributes to an increased risk of cancer.

Birth control pills used to treat PCOS, especially those that can affect the menstrual cycle, help keep women’s hormone levels low and the lining of the uterus thin, reducing the risk of having a miscarriage. endometrial cancer. Symptoms of endometrial cancer include pelvic pain, bleeding between periods, pain during intercourse, and a watery or bloody discharge. The disease often has no obvious warning signs in its early stages, so see a specialist even if you experience mild symptoms.


There are many treatments for irregular periods or amenorrhea in people with PCOS, depending on the health status of each person. Women may be prescribed oral contraceptives to balance hormones and help menstrual cycles become more regular. It is important to seek medical attention as soon as signs appear to have timely treatment.

Bao Bao (Follow Very Well Health)


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