Uterine amenorrhea develops not so rare. This woman neurohormonal system works fine, but there is no menstruation. The reason for this phenomenon is becoming an obstacle to any leakage of blood from the uterus. Uterine amenorrhea may be congenital (primary) or acquired (secondary) origin.
Types and causes of uterine amenorrhea
Uterine amenorrhea develops when a normally functioning hormonal system absent menses in a woman. Uterine amenorrhea, like all other types of amenorrhea may be primary or secondary. Primary amenorrhea uterine shown a complete lack of menstruation in women from the beginning, that is, when it has not developed any menstruation. There is a primary amenorrhea uterine under some birth defects of the uterus, or external genitalia. Sometimes these violations are the result of the transferred in early childhood infection or just a serious illness.
Improper development of the internal and external sex organs (uterus, cervix, vagina) is an obstacle to the outflow of menstrual blood. That obstacle can be a lack of openings in the hymen, imperforate cervical canal or vagina, some defects in the structure of the uterus.
Since the hormonal system is operating normally, the mucous membrane of the uterus (the endometrium) promptly rejected, accompanied by bleeding. But blood does not flow outside and is accumulated in the uterine cavity, causing discomfort and pain. In addition, a monthly accumulation of blood in the uterus creates the risk of inflammatory processes in the uterus and its appendages, so it is important to detect and treat the primary uterine amenorrhea
The absence of menstruation (amenorrhea) - ambiguous symptom
Sometimes the cause is a congenital uterine amenorrhea uterine insensitivity to sexual steroids. In this normal hormonal woman, and the endometrium does not respond to hormonal stimulation.
Secondary amenorrhea uterine types occur most often after a difficult birth, abortion, and various gynecological operations and in tuberculous endometritis or after suffering a severe bacterial endometritis. As a result of various injuries of the mucous membrane in the uterus or tuberculous lesions in the uterus and cervical canal may develop adhesions (connective tissue adhesions) and scarring to the partial or complete imperforate uterus, preventing the outflow of blood.
After abortion uterine amenorrhea may be associated with hormonal disorders, which are often a function of a temporary character.
A sign of uterine amenorrhea may be a monthly abdominal pain
Abdominal pain: when to sound the alarm?
. Intensity of pain can be different: aching from standing up to very strong paroxysmal. In some cases, there are even signs of "acute abdomen", indicating the occurrence of inflammation within the uterus, which switched to the peritoneum covering it.
The presence in the uterine cavity accumulates blood is a breeding ground for the breeding of various bacteria and the development of inflammation - endometritis. Joining endometritis accompanied by a sharp rise in temperature, increased pain and impaired general condition of the woman.
Uterine amenorrhea usually accompanied infertility, since even if pregnancy occurs, it is then interrupted because of the fact that the embryo can develop in the uterus.
Diagnosis and treatment
Diagnosis is based on X-ray, ultrasound and endoscopy. The absence of hormonal disorders
Hormonal disorders - oversupply and a lack of equally dangerous
Study confirms blood on hormones.
Treatment of uterine amenorrhea operative. Type of surgery depends on the cause of the violation of the outflow of menstrual blood. If it is complete imperforate hymen, the operation is conducted its perforation (in the hymen make a small hole). When adhesions in the uterus or the cervix canal is carried out using a hysteroscope dissection. Sometimes, if after the start of amenorrhea induced adhesions
Adhesions - how to get rid of them?
in the cervical canal, it took no more than six months, adhesions are separated using probes. If it has been more than six months, this method becomes ineffective. In tuberculous endometritis Policy Pay TB therapy, but in this case, to restore the normal endometrium is very difficult.
Uterine amenorrhea requires timely detection and treatment - only in this case, you can avoid most of the complications and get the woman to have children in the future.