Absence of Menstruation

What is absence of menstruation (Amenorrhea)?

Amenorrhea is a medical condition characterised by the absence of menstrual periods in women of reproductive age. It can be divided into two main categories: primary amenorrhea, where a woman has never had a menstrual period by the age of 16, and secondary amenorrhea, where a woman who previously had normal menstrual cycles stops menstruating for three or more consecutive months.

Lack of Menstrual Periods

The primary symptom is the absence of menstrual bleeding in women of reproductive age.

Other Associated Symptoms

Depending on the underlying cause, women with amenorrhea may experience additional symptoms such as hair growth changes, weight changes, headaches, or vision disturbances.

What are the symptoms of absence of menstruation (Amenorrhea)?

Symptoms of amenorrhea can include:

What are the treatments available for absence of menstruation (Amenorrhea)?

The treatment for amenorrhea depends on the underlying cause, which can vary widely from person to person. Here are some common approaches:

Lifestyle Modifications

In cases where amenorrhea is related to factors like excessive exercise, stress, or changes in weight, addressing these factors can help restore regular menstrual cycles.

Hormonal Therapy

Hormonal birth control methods, such as birth control pills or hormonal intrauterine devices (IUDs), may be prescribed to regulate menstrual cycles, especially in cases of hormonal imbalances.

Medications

In certain cases, medications like progestin may be used to induce menstrual periods or treat underlying conditions such as polycystic ovary syndrome (PCOS).

Surgery

Surgical intervention may be necessary if amenorrhea is caused by structural abnormalities in the reproductive organs.

Treatment of Underlying Conditions

If amenorrhea is a symptom of an underlying medical condition such as thyroid disorders, hyperprolactinemia, or ovarian dysfunction, treating the underlying condition is a priority.

Fertility Treatments

For women who desire pregnancy, fertility treatments such as assisted reproductive technologies (ART) may be considered to address the underlying cause of amenorrhea.

It’s crucial to consult with a healthcare provider for a proper diagnosis and personalised treatment plan tailored to your specific needs and medical history. Addressing the underlying cause of amenorrhea can help restore regular menstrual cycles and improve reproductive health. If you are experiencing irregular menstruation, consult Dr Daniel Koh today!

Dr Daniel Koh

About Our Specialist

Obstetrician & Gynaecologist Singapore

BMBS (AUS), M.MED (O&G, SG), FRCOG (UK), FAMS (SG)

Dr Daniel Koh is a highly respected obstetrician and gynaecologist based at Gleneagles Medical Centre, with extensive experience in both medical and surgical termination of pregnancy (TOP) in Singapore.

He is a Ministry of Health-accredited abortion provider and counsellor, known for his commitment to evidence-based care, patient autonomy, and confidentiality. Dr Koh provides clear, non-judgmental guidance to individuals navigating unplanned pregnancies, ensuring that every patient is fully informed and supported throughout the process.

How WE Can Help

Our Services

Providing a comprehensive suite of services to prioritise your needs and comfort at every step of the way in your fertility journey.

Obstetrics

Antenatal care & delivery, maternal & fetal medicine including high-risk pregnancies and fetal screening

Gynaecology

Abortion, family planning, abnormal Pap smears, fibroid and ovarian cyst management

Fertility

Fertility ScreeningIUIIVFEgg Freezing, Pregnancy Confirmation

Menstrual Problems

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