Amenorrhea in adolescents may develop for different reasons. It can manifest lack of menses from the beginning (primary amenorrhea) or termination shortly after the beginning of the (secondary amenorrhea). For all of these states have their own reasons, which should be identified as early as possible, since the most effective treatment for amenorrhea
Treatment of amenorrhea - should begin as soon as possible
Treatment is begun in adolescence.
Causes of amenorrhea in teenagers
Often the cause of primary amenorrhea are genetic or congenital disorders. When genetic disorders changes in the chromosomes can lead to violations of the neurohormonal system at any level. When congenital disorders changes in the reproductive system of the fetus during its intrauterine development occurs under the influence of external factors (of infections, intoxication, alcohol intake, and various medications, and so on). The cause of primary amenorrhea, the girl can also be transferred in early childhood diseases that have had a toxic effect on the ovaries and cause of their underdevelopment.
The cause of secondary amenorrhea in girls are often stress, malnutrition (including strict diets), severe neuro-psychological stress, traumatic brain injury, brain disease and its consequences.
Under the influence of any of these reasons is developing a violation in the cerebral cortex - the hypothalamus - pituitary - ovary - uterus. Failure at any level of the system can lead to amenorrhea. At the same time, the sooner will be identified and possibly eliminated or partially treat the cause of the disease, the better the chances for a full recovery of reproductive health, girls and its ability in the future to become a mother.
How is primary amenorrhea in teenagers
Normally, girls 11-13 years appear first period - menarche. Regular menstrual cycle is often installed immediately, but within 6-12 months. If menstruation does not occur after the age of 16, is considered a primary amenorrhea, if menstruation began, but then there was a break of more than half a year, we speak of secondary amenorrhea.
Primary amenorrhea in addition to the absence of menstruation for violations on the part of the hypothalamic-pituitary system, or hypoplasia of the ovaries (they can not in sufficient quantities to produce hormones needed to cyclical changes in the uterus and the appearance of secondary sexual characteristics) is also seen slowing down or complete lack of development of secondary sexual characteristics in girls . By 15-16 years in these adolescents undeveloped breasts, body shape have a child form, there is no proper body hair and so on.
In primary amenorrhea, which arose due to the underdevelopment of the uterus, menstruation may be absent not because of hormonal imbalance, but because the way of removing blood from the uterus there is an obstacle - the lack of openings in the hymen, adhesions in the uterus, bending of the uterus, imperforate cervical canal uterus or the vagina, and so on. In this case, the girls develop normally, but not in time menstruation begins. Instead, the girl can be confusing for cyclic (monthly) abdominal pain.
How is secondary amenorrhea in teenagers
Secondary amenorrhea in teenagers is also manifested in different ways, depending on the reasons therefor. When psychogenic amenorrhea
Psychogenic amenorrhea - the result of long-term neuropsychiatric overload
Arising due to stress or severe emotional distress, the girl suddenly disappear menstruation. Often this is accompanied by a neuro-psychiatric disorders - irritability
Irritability - you try to control my temper
, Changeable moods, depression, anxiety
Anxiety - how to distinguish normal from disease?
, Unfounded fears and so on.
Today, very often secondary amenorrhea in teenagers developing against malnutrition. The reason for this phenomenon is the fashion for extreme thinness and dieting. This leads to metabolic disorders in the hypothalamic-pituitary system and triggers anorexia nervosa, which is not so easy to stop. Changes in the reproductive system thus difficult to correct.
If secondary amenorrhea due to some diseases of the hypothalamus or pituitary gland, the absence of menstruation is accompanied by a number of symptoms characteristic of destruction of a portion of neurohormonal system. For example, in diseases, injuries, and tumors of the hypothalamus may develop Cushing's syndrome. This syndrome produces an increased amount of glucocorticoid hormones and male sexual hormones that contribute to change the girl's body on the male type and occurrence of obesity with the deposition of fat in the face, neck and upper body.
The main task of the girl's parents is a timely appeal to the children's gynecologist. Problems encountered in adolescence, it is best to solve as soon as possible - the reproductive system at this age more amenable to correction.