Most women in the forums ask that amenorrhea is 2 degrees, and how to treat it. Obviously, in this case, it refers to the secondary amenorrhea - cessation of menses in the menstrual cycle, the steady over six months. Causes of secondary amenorrhea may be different, and they need to find out.
The main causes of secondary amenorrhea
Secondary amenorrhea is called the cessation of menstruation at a steady menstrual cycle for more than six months. While primary amenorrhea
Primary amenorrhea - a consequence of the genetic damage
- A complete absence of menstrual periods from the beginning, that is, after the age of puberty
Puberty child - stages of a complex path
The cause of secondary amenorrhea may be a failure at any level of the cerebral cortex - the hypothalamus - pituitary - ovary - uterus. There are secondary amenorrhea, the hypothalamic-pituitary (central), ovarian and uterine origin.
Secondary amenorrhea hypothalamic-pituitary (central) origin
With this type of amenorrhea failures can be worn as a functional and organic (in violation of the structure of tissue) character. Changes in the hypothalamus are more likely to function, and in the area of the pituitary gland - organic.
So, very often secondary amenorrhea occurs when the stress and long neuropsychiatric stress (psychogenic amenorrhea), and fasting. In this and in another case, in the area of the hypothalamus there are changes at the biochemical level that reduce the secretion of this organ gonadotropin-Riesling-releasing hormone (GnRH), regulating the allocation of gonadotropin-releasing hormone pituitary gland (TG), which in turn stimulate the secretion of female hormones, maturation egg in the ovary, ovulation and cyclic changes of the mucous membrane of the uterus (the endometrium). All these processes lead to the development of resistant secondary amenorrhea.
The same effect may result in any disease, trauma and tumors in the hypothalamus, i.e. organic disease, but they are less common than similar processes in the pituitary. In the area of the pituitary gland often develop benign tumor prolactinoma cells that secrete the hormone prolactin, suppresses the secretion of hypothalamic GnRH, resulting in developing amenorrhea.
Secondary amenorrhea often manifests itself only in the absence of menstruation, but its long-term course without treatment in the genitals of women may occur atrophic changes (decrease in volume). Timely detection and treatment of secondary amenorrhea
The treatment of secondary amenorrhea - a difficult task, but achievable
central origin reduces the risk of complications, including infertility complete.
Secondary amenorrhea ovarian origin
The cause of secondary amenorrhea of ovarian origin are most often depleted ovarian syndrome (Sia) and resistant ovary syndrome (SRYA). In the first case, the ovaries cease to function after steady menstrual cycle at any age of forty. They prematurely end a reserve capable of maturing eggs. In the blood revealed a lack of female sex hormones, and TG excess of the pituitary gland.
Resistant ovary syndrome (SRYA) different normal structure of the body, but the ovaries while showing resistance (lack of sensitivity) to the stimulating effects of pituitary gonadotropins. And this SRYA and accompanied by symptoms of early menopause - irritability
Irritability - you try to control my temper
, Tearfulness, rush of blood to the face and upper body, increased heart attacks, pain in the heart, sweating, weakness, headaches and so on. With long-term amenorrhea And this against a background of developing and SRYA progressive atrophic processes in the mammary glands and genitals.
In secondary amenorrhea of ovarian origin carried out blood tests on hormones, ultrasound of the pelvic organs, thyroid, adrenal, x-ray, computed or magnetic resonance imaging of the brain.
The treatment of secondary amenorrhea of ovarian origin - a hormone replacement therapy. Pregnancy is only possible with the help of IVF and donor egg. At the beginning of the disease can stimulate egg maturation of their own with the help of hormone therapy.
Secondary amenorrhea uterine origin
With this type of amenorrhea hormonal disorders, but there are obstacles to the outflow of menstrual blood, so this kind of amenorrhea is false. The obstacle in the form of adhesions, or scar in the uterus cervical canal or may occur after heavy labor, abortion, and various gynecological procedures, resulting in injury to the mucosa which leads to the growth of connective tissue.
Treatment of this type of amenorrhea is colliotomy using a hysteroscope.
Diagnosis "amenorrhea 2 degrees" does not exist, but there are secondary amenorrhea, the causes of which must deal individually.