Amenorrhoea (amenorrhoea)

Amenorrhoea (amenorrhoea) 't need to divide.

Such as breast development or pubic hair growth came to 14 years of age and a young girl not yet developed secondary sex characters are referred to as primary amenorrhea customs not start. If you are able to say breast development and pubic hair growth has begun to be expected for the age limit is 16 years old with primary amenorrhea.

Of number of units for a period of 3 months have seen before, a woman called secondary amenorrhea cut.

Regular menstrual cycles in a woman hypothalamus, pituitary, ovary and uterus works perfectly normal. In the brain, the hypothalamus and pituitary FSH and LH hormones and ovaries (ovaries) warns. Stimulated ovaries secrete estrogen and progesterone hormone. Estrogen and progesterone hormone in the uterus (womb) that the inner layer of the endometrium provides stimulating the development of menstrual bleeding. These bodies mechanism between the consecutive menstrual bleeding is a normal and necessary for every month. This mechanism is faulty at any stage amenorrhoea, menstrual irregularity or occurs. Except for these mechanisms to be menstrual blood flow tract (cervix, vagina, hymen membrane) should not be bottleneck for any reason.

Causes of primary amenorrhea:
- Of the hypothalamus and the pituitary gland, tumors
- Imperforate hymen (hymen lack of clarity)
- Turner's syndrome
- Structural development delay
- Galactosemia
- Transverse vaginal septum (the vagina is the curtain
- The vagina, cervix (cervical) or the womb to be born underdeveloped (RKM-
(Mayer-Rokitansky-Kuster-Hauser syndrome, Mullerian agenesis)
- testicular feminization (XY ​​chromosomes, the female external image refers to a complaint of an individual to menstruate.)

Causes of secondary amenorrhea:
- Physiological: Pregnancy (most common cause), the corpus luteum cyst, lactation, menopause
- Due to the suppression of the hypothalamus-pituitary axis
- Birth control pill amenorrhea following the ingestion of
- Stress, depression <- weight loss, extreme weakness, malnutrition - pituitary disease: pituitary ablation, Sheehan's syndrome ,
- Prolactinomas (hyperprolactinemia, hormone over-production of milk)
- Control not endocrinopathies: diabetes, hypothyroidism and hyperthyroidism
- Polycystic ovarian disease
- Chemotherapy
- Radiotherapy
- Endometrial Ablation
- The development of intrauterine adhesions (Asherman's syndrome)
- Drug therapy in the treatment of systemic steroids, danazol, GnRH analogues
- Premature ovarian failure, early menopause
- Sarcoidosis
- Hyperandrogenemia (increase in male sex hormones like testosterone)

Diagnosis:
For the diagnosis of FSH, LH, prolactin, thyroid hormones, depending on the situation, ultrasonography is frequently used methods. Gerkebilir şüphelenilmişse a pathology in the brain CT or MRI scans. Sometimes HSG (hysterosalpingogram), SIS (saline infusion sonography) or hysteroscopy may need to observe the uterus inside the print.

Treatment:
The most common cause of secondary amenorrhea is pregnancy so in such a case, first pregnancy should be investigated. Regulated for reasons of pregnancy or treatment. Why malnutrition, extreme weakness, stress, depression, excessive exercise nedenlerse first of these conditions should be corrected as

If the womb (uterus), cervix (cervical) or related to the organs such as the vagina if you have an anatomical disorder treatment is surgery to correct it.

If excessive prolactin hormone in the pituitary gland in the brain (milk hormone) production which is why if you have a tumor the size of tumor treated by medication (bromocriptine, cabergoline, domain agonists, drugs), or will be in the form of surgery. Drug treatment is usually with small prolactinomas, ie without the need for surgery mikroadenomlar prolactin hormone levels and reduced shrink, customs returns to normal.

Ovulation disorders (anovulation, polycystic ovary syndrome) cases, such as the inside of estrogen and progesterone hormone drugs, birth control pills are used for treatment.