Amenorrhea

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Menstruation is caused by a series of signals produced by our body through hormonal connections between the brain and the ovaries, which we call the hypothalamic-pituitary-ovary axis.

Below you have an index with all the points that we will discuss in this article.

Index

Amenorrhea

When these signs do not work, there is an absence of menstruation known as functional amenorrhea. Obviously, to suffer this type of pathology is necessary to have previously had the rule, ie, that a woman has normal menstrual cycles and is of reproductive age. By this we mean that the absence of a rule prior to puberty or post- menopause is not considered amenorrhea, since it is normal at this time that menstruation does not go down.

Hypothalamic amenorrhea

Why does not the rule come?

There are a number of causes that can produce a hormonal imbalance and with it amenorrhea. Here are some of the most frequent ones:

  • Excessive weight loss, in a short time, either by eating disorders or diets not guided by nutritionists that can damage our body, are common cause of amenorrhea. If you get to have a Body Mass Index less than 19, this pathology can occur.
  • The lack of a vital component for the organism can be the cause of absence of rule, for example, in cases of severe anemia.
  • Stress is another cause, including here not only work or school situations, but also those of a psychiatric illness that can generate a lot of stress such as anxiety or depression.
  • The intense physical exercise can be another reason to facilitate the disappearance of the rule, referring mainly to girls who practice sport professionally and very intensely.

On the other hand, if there were any unregulated hormones in the body, amenorrhea could also occur. For example, when prolactin levels are above normal (hyperprolactinemia), there may be a case of stopping the menstrual descent.

This is the reason why during lactation (high level of prolactin) many women do not have the rule.



symptom

The lack of estrogen release by the ovary caused by the aforementioned situations can lead to the appearance of symptoms such as:

  • The alterations of the emotional state
  • Alterations of the dream
  • Decreased libido
  • Vaginal dryness and consequently painful sexual intercourse

In addition, hormonal dysregulation in case of amenorrhea in turn causes anovulation and therefore the appearance of secondary sterility.

Anxiety and stress can cause amenorrhea

In those women who want to become pregnant, the frustration, anxiety and stress caused when pregnancy does not occur can cause amenorrhea. In addition, if this lasts over time, pregnancy will not occur and this in turn increases the degree of anxiety, creating a negative vicious circle that requires psychological attention to overcome this transient pathology and pregnancy can occur.






menopause in Madrid(Spain)

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