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The absence of menses is referred to as amenorrhea and it happens in women of reproductive age. It can be primary or secondary when diagnosed. Women who have never menstruated are classified as primary. Secondary is caused by other factors such as in women who have menstruated and then do not for 3 or more cycles. The type of treatment given for amenorrhea treatment is dependant upon the cause.

A variety of conditions can cause primary amenorrhea. An absence of reproductive organs can cause it. An obstruction in the genital track can be the reason. Chromosomal abnormalities that occur with diseases such as Turner’s Syndrome can be the cause. Pituitary lesions, hypothalamic lesions or congenital adrenal hyperplasia could be the cause menses absence.

Secondary symptoms can be caused by excessive physical exercise, any chronic illness, thyroid disorders, various medications, oral contraceptives, autoimmune ovarian failure or premature menopause. An adrenal disease such as Cushing’s Syndrome could also cause this to occur. Polycystic Ovarian Disorder or PCOD may be the reason as well.

Symptoms can include discharge from the nipples, excessive hair growth on the face or weight gain which could be an indicator for Cushing’s Syndrome or hyperthyroidism. Other symptoms could include weight loss that could be associated with Anorexia Nervosa or hyperthyroidism. Loss of menses itself is an indicator.

Symptoms are indicators that there is a hormonal imbalance that needs correcting. First one must find the cause of the imbalance and then have a detailed assessment of their health to include a full physical. Puberty should be one consideration and pregnancy another when ruling out symptoms. Having a hormone panel done will show if the thyroid has any problems and prolactin levels should be checked.

High levels of lutinizing hormone, or LH, and follicle stimulating hormone, or FSH, suggest primary failure of the ovaries. An elevated LH is common with PCOD. High levels of plasma testosterone many be caused by an androgen secreting tumor. Low levels if gonadotrophins and estradiol may indicate pituitary disease or hypothalamic disease. Based on blood tests one may also need to have imaging done such as a CT scan, MRI or ultrasound.

Using conventional medical treatment could include removal or treatment of the adrenal glands or the thyroid, this may restore function to the ovaries. Stimulating the ovaries with non steroidal products like Clomiphene Citrate or human gonadotrophins are sometimes done. In case of ovarian failure, treatment with an estrogen-progesterone blend or cyclic estrogen can improve the symptoms. This type of treatment is often utilized in younger patients and for patients over 40 with psychological factors to consider. These types of treatments depend a lot on one’s psychological condition, their desire to bear children, the factors that are causing the problems and their age.

For more permanent amenorrhea treatment that does not only mask the symptoms it is important to think about the primary cause of why hormones are out of balance and work toward balancing them. Taking a natural approach to treating both the primary and secondary symptoms will offer relief that is lasting. These methods work so well because they stimulate the ovaries and the pituitary glands and regulate them as well as menstruation. They will induce menses and regulate the length of the menstrual cycle as well as the entire endocrine axis offering results that will last.

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