Progesterone with amenorrhea - will not always

Progesterone - a female hormone that supports the second half of the menstrual cycle and pregnancy status. When amenorrhea it is usually used as part of hormone therapy in the event that "fail" ovaries, i.e., do not emit enough quantity of female hormones estrogen and progesterone. But in some cases, the progesterone used independently.

Progesterone with amenorrhea as monotherapy

When different types of amenorrhea adequate hormonal therapy allows for the correction of existing violations. Principles of hormonal correction based on the conduct of hormone replacement therapy. In case of insufficiency of the luteal phase (second half of the menstrual cycle, progesterone is supported), amenorrhea on the background of elevated blood level of estrogen appointed pure progestogens (synthetic versions of progesterone) conditionally to the second phase of the menstrual cycle or combined oral contraceptives on the standard 21-day scheme.

For the treatment of these types of amenorrhea use different progestogens have individual properties. Dosage forms of progestogen are varied and include tablets, sustained-release forms, drugs for topical application (for example, some progestogens are issued in the form of gels, causing the skin and is quickly absorbed into the blood), vaginal suppositories Vaginal suppositories - for contraception and treatment of inflammation Vaginal tablets, injections.

One of these drugs is djufaston (active substance - dydrogesterone) - it is available in tablets for oral administration. In its structure and pharmacological action djufaston similar endogenous (secreted by the ovaries) progesterone. Unlike most synthetic progestogens djufaston practically no side effects in the form of stimulating the secretion of male sex hormones.

When amenorrhea caused by the failure of the second phase of the menstrual cycle or an excess of estrogen djufaston appoint from the 14th to 25th day of the menstrual cycle conditional. Treatment should be carried out continuously for at least 6 consecutive cycles. If pregnancy occurs, treatment is recommended to continue throughout the first trimester.

Progesterone amenorrhea consisting of cyclic hormone replacement therapy

With low content of estrogen in the blood is recommended to perform cyclic hormone replacement therapy (estrogen in the first half of the menstrual cycle conditional on 10-14 days, progestogens in the second half for 10-12 days) or three-phase formulations, or biphasic mode of application (eg femoston).

To create a transformation in the endometrium typical of the first and second phases of the menstrual cycle are different drugs. When cyclic hormone therapy is preferred formulations containing in its composition similar to natural estrogens and progestogens. This is especially important in the treatment of women aged 18-20 years (at an earlier age the hormones are not recommended), and in women after 35-40 years. Because in this case progestogens commonly used is natural micronized progesterone Progesterone - norm and pathology   utrozhestan Utrozhestan - corrects the deficiency of progesterone . Most often utrozhestan combine with taking synthetic estrogen Estrogen - the key to bone health   estrozhelya in the first half of the menstrual cycle.

Utrozhestan issued in the form of capsules that can be taken orally or inserted into the vagina. It is identical to endogenous progesterone does not cause water retention, no increase in body weight, which is its important advantage when assigning young girls. Utrozhestan well tolerated and almost no side effects.

When cyclic hormone replacement utrozhestan administered after a cycle of estrogen for 10-12 days.

Cyclic hormone replacement therapy in women with primary and secondary amenorrhea against various functional disorders of the pituitary-ovarian status system is applied in order to saturate the body of estrogen in the first phase of the menstrual cycle and endometrial transformation into a second phase of the menstrual cycle. This contributes to the appearance menstrualnopodobnoe bleeding nearly 90% of patients, indicating that the level of preparedness for the introduction of the endometrium in the uterine wall of the embryo, that is, in pregnancy.

For hormonal replacement therapy in women is also used combination drug femoston. It consists of estrogens and progestogens. The drug is prescribed for a long time one tablet per day.

Correctly chosen individually for each female hormonal treatment allows to correct existing violations of the menstrual cycle and restore the state of the reproductive system. This will allow the majority of treated women to have children in the future.

Than to treat amenorrhea

Today, with the ubiquity of the Internet, many use it as a medical aid for self-treatment. And if the treatment of acute respiratory infections this treatment option somehow works (and then not always), that the treatment of amenorrhea can lead to total disaster. Treatment of any kind amenorrhea should be entrusted to the doctor.

Why amenorrhea occurs

In order to properly treat amenorrhea, you must first establish the correct diagnosis. A correct diagnosis can be established only on the basis of a full examination.

For example, primary amenorrhea (menstrual periods when there has never been aged 16 years and older) may occur when genetic, congenital disorders, the impact of various adverse factors in infancy. But the primary amenorrhea can occur in adolescent girls as the stress and high physical or neuropsychiatric loads. Especially often it occurs during active sports. Where there is a combination of physical and emotional overload.

Treatment of primary amenorrhea Primary amenorrhea - a consequence of the genetic damage   in these cases should be different. In order to establish the correct diagnosis is necessary to exclude hereditary and congenital abnormalities, tumors and diseases of the hypothalamic-pituitary system, believe hormonal girls.

Similarly, things and with secondary amenorrhea - a condition where the menstrual cycle first set and then monthly gone for more than six months. This condition can be caused by a failure in the neurohormonal systems at various levels. This may be accompanied by amenorrhea has some symptoms, or may not be accompanied by, so it distinguish one species from another is impossible.

Equal treatment is not suitable for women with amenorrhea in the background prolactinoma (benign tumor of the pituitary gland producing the hormone prolactin - that it causes amenorrhea) and women with the syndrome of premature ovarian failure (Sia). These women also requires the prior thorough examination.

How to treat primary amenorrhea

Primary amenorrhea is usually detected during adolescence. Regardless of its causes it is of great importance restorative treatment. It includes a healthy lifestyle, proper nutrition, strengthening the immune system Strengthening the immune system - help the immune system   (sedentary life, moderate exercise, the maximum stay in the open air). This should be completely eliminated high physical and emotional load, stress, and established night's sleep Dreams: how to understand our dreams   and rest in the afternoon. As a restorative treatment prescribed special vitamin-mineral complexes for teenagers, herbal medicines that strengthen the body's defenses, etc. Only against this background may conduct medical treatment.

Medical treatment depends on the age of the girl. Up to 18 years is not recommended the use of hormones as they may adversely affect the physical development of the adolescent. At this age, use drugs, has a positive impact on the overall development, growth and the weight of the girls, as with very low weight hormonal stimulation is not effective. If the cause of amenorrhea in violation of the outflow of menstrual blood (uterine amenorrhea), the operation is conducted - anatomical barriers are eliminated and normal menstrual cycle is restored.

After 18 years, strictly on the evidence and on prescription appointed cyclic hormone therapy.

Than to treat secondary amenorrhea

In the treatment of secondary amenorrhea The treatment of secondary amenorrhea - a difficult task, but achievable   great importance of normal weight women. With insufficient or obesity drug treatment is ineffective. Secondary amenorrhea is often with a deficit of weight and obesity, and after the restoration of normal weight can pass on their own.

But this is only if the functional disorders of the neurohormonal system. If the reason was some diseases hypothalamic-pituitary region or ovaries, then no medical treatment is necessary. In some cases, and require surgery.

When functional disorders of neurohormonal systems for recovery of the menstrual cycle is sometimes prescribe hormonal contraceptives, which contain, or only progestogens (synthetic versions of progesterone), or estrogen and progestogen. Which appoint hormonal contraceptive, the doctor decides on the basis of the survey.

If the cause of amenorrhea is a benign tumor prolactinoma, the prescribed drugs that inhibit the secretion of prolactin, such as parlodel.

Treatment of amenorrhea should take place only under the supervision of a physician.

Galina Romanenko