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.
Symptoms of amenorrhea can include:
The primary symptom is the absence of menstrual bleeding in women of reproductive age.
Depending on the underlying cause, women with amenorrhea may experience additional symptoms such as hair growth changes, weight changes, headaches, or vision disturbances.
The treatment for amenorrhea depends on the underlying cause, which can vary widely from person to person. Here are some common approaches:
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.
In certain cases, medications like progestin may be used to induce menstrual periods or treat underlying conditions such as polycystic ovary syndrome (PCOS).
Hormonal birth control methods, such as birth control pills or hormonal intrauterine devices, may be prescribed to regulate menstrual cycles, especially in cases of hormonal imbalances.
Usually due to a physical blockage (e.g. imperforate hymen or vaginal septum); minor surgery creates an opening or removes the blockage.
Usually due to uterine scarring (Asherman’s syndrome), often after a prior D&C, C-section, or infection; surgery removes the scar tissue.
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.
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 amenorrhea, consult Dr Daniel Koh today!
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.
Providing a comprehensive suite of services to prioritise your needs and comfort at every step of the way in your fertility journey.
Antenatal care & delivery, maternal & fetal medicine including high-risk pregnancies and fetal screening
Abortion, family planning, abnormal Pap smears, fibroid and ovarian cyst management
Heavy menstrual bleeding (menorrhagia), prolonged menstruation, intermenstrual bleeding, painful menstruation (dysmenorrhea), post menopausal bleeding
Our friendly team is looking forward to serving you. For urgent enquiries and appointment requests, please call or WhatsApp us directly.
