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Primary Amenorrhoea Health Feed

Amenorrhoea

Dr. Kanica 90% (19 ratings)
BHMS
Homeopath, Bahadurgarh
Amenorrhoea

Amenorrhea

Amenorrhea is the absence of menstrual bleeding. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.
For a woman to have regular menstrual cycles, her hypothalamus, pituitary gland, ovaries, and uterus should all be functioning normally. The hypothalamus stimulates the pituitary gland to release follicle-stimulating hormone (fsh) and luteinizing hormone (lh). Fsh and lh cause the ovaries to produce the hormones estrogen and progesterone. Estrogen and progesterone are responsible for the cyclical changes in the endometrium (uterine lining), including menstruation. In addition, a woman’s genital tract should be free of any abnormalities to allow the passage of menstrual blood.
Amenorrhea is of two types.

  • Primary amenorrhea. Primary amenorrhea is typically the result of a genetic or anatomic condition in young females that never develop menstrual periods (by age 16) and is not pregnant.
  • Secondary amenorrhea. Pregnancy is an obvious cause of amenorrhea and is the most common reason for secondary amenorrhea. Further causes are varied and may include conditions that affect the ovaries, uterus, hypothalamus, or pituitary gland.

Causes.

  • Stress.
  • Over exercise.
  • Excessive weight gain or weight loss.
  • Cycle suppression with systemic hormonal contraceptive pills.
  • Chronic diseases like tuberculosis etc.
  • Pituitary causes.
  • Hypothalamic causes.
  • Ovarian causes.
  • Breast feeding.
  • Thyroid gland disorders.

Symptoms.

Management.

  • Avoid stress.
  • Women should eat proper balanced diet.
  • Do moderate exercise to maintain body weight.

Diet in.

Good nutrition (balanced diet with adequate consumption of fats, proteins and minerals) can usually alleviate the problem.

Our homeopathic remedies are best in this case.

5 people found this helpful

Amenorrhoea - Causes Behind Primary and Secondary Type

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Amenorrhoea - Causes Behind Primary and Secondary Type

Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.

Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

  1. Milky nipple discharge (galactorrhoea)
  2. Hair loss
  3. Headache
  4. Vision changes
  5. Excess facial hair (Hirsuitism)
  6. Pelvic pain
  7. Acne

You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.

Natural amenorrhea
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:

Contraceptives
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.

Medications
Certain medications can cause menstrual periods to stop, including some types of:

Sometimes lifestyle factors contribute to amenorrhea, for instance:

  1. Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
  2. Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
  3. Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Hormonal imbalance
Many types of medical problems can cause hormonal imbalance, including:

  1. Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
  2. Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
  3. Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
  4. Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Structural problems
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:

  1. Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
  2. Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
  3. Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Clinical examination by the doctor  includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine  your breasts and genitals to see if you're experiencing the normal changes of puberty.

Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.

Lab tests
A variety of blood tests may be necessary, including:

  1. Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
  2. Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
  3. Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
  4. Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
  5. Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.

Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.

Imaging tests
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:

  1. UltrasoundThis test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
  2. Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
  3. Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Endoscopy tests
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

2411 people found this helpful

Effective Ways To Cure Amenorrhoea

Dr. Ravi Singh 90% (150 ratings)
M.D.Homeopathy
Homeopath, Lucknow
Effective Ways To Cure Amenorrhoea

When it comes to the health of women, there is never too much one can do. The condition of amenorrhea, for instance, refers to the situation in which menstruation does not take place.

There are two kinds of amenorrhea, which are the primary form and the secondary. The primary refers to when menstruation has not begun in a girl who has reached 16 years of age. On the other hand, when a woman has secondary amenorrhea, what this means is that for over six months, menstruation has not occurred.

The reasons why primary amenorrhea may take place are quite varied. Tumours which affect the pituitary gland can cause it, as can an abnormality in the vagina or the uterus of a woman. Diseases such as polycystic ovary also have the potential to lead to amenorrhea. For secondary amenorrhea, a bad diet, stress and pregnancy can lead to it. But what can be done about it?

Treating Amenorrhea with Homeopathy

Homeopathy is a truly amazing field of medicine and it is so great that it can treat amenorrhea, as well. One of the many good things about making the right choice of a homeopathic treatment plan is that it is highly customizable, according to the case at hand.

There is no one medicine which is prescribed by homeopathy for amenorrhea, which correspond to the various causes of the condition. So, it can be understood why homeopathic medicine is customizable as it proves to be in the case of treating amenorrhea, as well.

There are a variety of homeopathic medicines which can be taken for amenorrhea. That being said, it is important to keep in mind the fact that these medicines should only be made use of after a qualified homeopathic doctor has checked the patient and approved of the medicine. For mothers who have not experienced menses after they started breastfeeding their babies, Sepia is the medicine which is usually recommended. In a similar way, Pinus lamb is recommended for women whose menses are delayed. While these happen to be a couple of very specific or niche medicines, a general medicine for amenorrhea is Pulsatilla. In fact, it is widely considered by doctors to be very effective.

When amenorrhea is caused on account of the suppression of menses due to a tumour which is present in the ovaries, most allopathic doctors would be very worried. However, homeopathic doctors would know that there is a solution designed for this very situation, which is known as Apis Mel.

Now that it is known that amenorrhea has not only a cure, but rather, multiple cures; the cause for worry is not really warranted!

3274 people found this helpful

How Homeopathy Helps Manage Amenorrhoea?

Dr. Anushri Banik 93% (1317 ratings)
BHMS
Homeopath, Howrah
How Homeopathy Helps Manage Amenorrhoea?

When it comes to the health of women, there is never too much one can do. The condition of amenorrhea, for instance, refers to the situation in which menstruation does not take place.

There are two kinds of amenorrhea, which are the primary form and the secondary. The primary refers to when menstruation has not begun in a girl who has reached 16 years of age. On the other hand, when a woman has secondary amenorrhea, what this means is that for over six months, menstruation has not occurred.

The reasons why primary amenorrhea may take place are quite varied. Tumours which affect the pituitary gland can cause it, as can an abnormality in the vagina or the uterus of a woman. Diseases such as polycystic ovary also have the potential to lead to amenorrhea. For secondary amenorrhea, a bad diet, stress and pregnancy can lead to it. But what can be done about it?

Treating Amenorrhea with Homeopathy

Homeopathy is a truly amazing field of medicine and it is so great that it can treat amenorrhea, as well. One of the many good things about making the right choice of a homeopathic treatment plan is that it is highly customizable, according to the case at hand.

There is no one medicine which is prescribed by homeopathy for amenorrhea, which correspond to the various causes of the condition. So, it can be understood why homeopathic medicine is customizable as it proves to be in the case of treating amenorrhea, as well.

There are a variety of homeopathic medicines which can be taken for amenorrhea. That being said, it is important to keep in mind the fact that these medicines should only be made use of after a qualified homeopathic doctor has checked the patient and approved of the medicine. For mothers who have not experienced menses after they started breastfeeding their babies, Sepia is the medicine which is usually recommended. In a similar way, Pinus lamb is recommended for women whose menses are delayed. While these happen to be a couple of very specific or niche medicines, a general medicine for amenorrhea is Pulsatilla. In fact, it is widely considered by doctors to be very effective.

When amenorrhea is caused on account of the suppression of menses due to a tumour which is present in the ovaries, most allopathic doctors would be very worried. However, homeopathic doctors would know that there is a solution designed for this very situation, which is known as Apis Mel.

Now that it is known that amenorrhea has not only a cure, but rather, multiple cures; the cause for worry is not really warranted! If you wish to discuss about any specific problem, you can consult a Homeopath.

5708 people found this helpful

Onycholysis: Primary Causes You Need To Know

Dr. Mohna 83% (24 ratings)
MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Noida
Onycholysis: Primary Causes You Need To Know

Nails are an important part of your physiology, although they are mostly used for either utilitarian purposes such as gripping or for beauty purposes such as nail decorations. Nails themselves can go through infections which need not have underlying causes and thus can cause damage to that part of the tissue. One such disorder of the nail is onycholysis.

What is onycholysis?
This is a disorder where the nail on the finger or the toes starts to separate from the skin below. This happens little by little and usually starts at the tip and then progresses backward. The further back it progresses, the more nail tissue it destroys. While the entire nail may not be detached from the nail bed, parts of it may chip off, showing the tissue underneath.

Symptoms of Onycholysis:

  1. Jagged border between the pink flesh of the nail bed and the yellow edge of the nail
  2. Detached nails become opaque, yellow or may turn green in color
  3. Nail may become irregular in shape and size
  4. Bits and chunks of nails can break off easily

Primary Causes for Onycholysis:

Let's look at some of the primary causes of onycholysis:0e962a07aa1f0b5b1e5d53b39c763740

  • Frequent Trauma - If you have a profession or work at home where you constantly require tapping away, it might cause minute injuries to build up within the nails and the fingers. Tapping on keyboards is one area where you could get repetitive trauma like this.
  • Manicure Problems - Many salons may aggressively try to clean the underside of the nails and in the process, slowly dislodge the nail form the nail bed and cause onycholysis. This has known to be the case with many people.
  • Water Immersion - If you have work where your nails are immersed in water for long periods of time, this could also affect the development of onycholysis.
  • Skin Diseases - Certain skin conditions can also end up giving onycholysis. Psoriasis and contact dermatitis are other conditions that may lead to onycholysis as a consequence.
  • Allergy to Nail Glue - Many makeup artists and customers have complained that certain brands of nail glue can also cause allergies resulting in onycholysis.
  • Medications - Medications meant for the treatment of other ailments within the body can have the unintended consequences of causing onycholysis.

Treatment:
The underlying problems need to be corrected which may cause onycholysis. Once the underlying problem is corrected, onycholysis usually corrects itself. The nail may take some time to re-grow but will grow back on its own eventually and may take 4 to 6 months to cover the entire affected area again. In case you have a concern or query you can always consult an expert & get answers to your questions!

3590 people found this helpful

How to confirm menopause clinically if 42 years old woman comes with 2 months amenorrhoea ?

Dr. Prof. & Hod Ganesh Shinde 89% (291 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dear lybrate-user, best is to wait. No periods for good 6 months, goes in favour of menopause. Lab tests are there but may be done only if there is anxiety.
1 person found this helpful
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What Are The Primary Causes Of Male Infertility?

Dr. Vinod Raina 89% (5866 ratings)
MD - General Medicine
Sexologist, Delhi

What Are The Primary Causes Of Male Infertility?


Infertility of men can never let the women get pregnant. Lack of sperm count, lack of sperm in the semen, the low speed of the sperm to reach the egg, thick sperm hampering the speed of the sperm t reach the egg, cystic fibrosis, erectile dysfunction, injury in testicles, problem in ejaculating etc are some of the immediate medical reasons for male infertility.

Here, a couple of primary reasons are listed starting from medical causes to health and lifestyle causes-

Varicocele

This disease is the swelling of the veins that drains the testicles. As the sperm is produced from the testicles, issues in this organ can cause a severe problem for reproduction. Though it is not proven that varicocele is responsible for male infertility but definitely, the obstruction caused by the swelling of the veins the production of the normal sperm count. Immediate medical treatment can ensure complete cure of the disease by increasing the sperm count and by using assisted reproductive techniques such Vitro fertilization.

Ejaculation problems

If semen enters the bladder during the orgasm instead of flowing to the tip of the penis then mostly it is diagnosed as retrograde ejaculation. Proper treatment is there which men can opt for. Instead of the chemicals, they have the options for natural or ayurvedic medicines as well. Various reasons are responsible for this situation such as the chronic diseases such as diabetes, surgery in the bladder, urethra or the prostate, spinal injuries etc.

Infection

Different infections whether sexually transmitted or not are responsible for the temporary infertility of men. Some infections interfere with the sperm health while some hampers the normal sperm production. In many cases, men suffering from the infections experience inflammation of the epididymis or testicles during the intercourse or even masturbating. Usually, the inflammation is mainly caused by the infection caused by the sexually transmitted infections such as HIV, gonorrhea, and so on.

Issues with Erectile Dysfunction

One of the most common issues of many men these days is the erectile dysfunction. They mainly face problem in maintaining the erection for the sufficient time during the intercourse. Men suffering from ED often end up with painful intercourse, premature ejaculation, inflammation in genitals, anatomical abnormalities like urethral opening beneath the penis, psychological problems in the relationship that is interfered with sex and so on. With proper medication and therapies, the temporary issue of erectile dysfunction can be resolved and the issue of infertility can also be cured.

Particular medications

Long-term treatment of chronic diseases such as anabolic steroid use, cancer treatment, any particular antifungal medication, Testosterone replacement therapy, treatment drugs for ulcers and even diabetes can be responsible for decreasing the sperm count in male causing to male infertility.

Previous Surgeries

Along with medications, there are a few surgeries that can interfere in producing the normal sperm count during ejaculation. Testicular surgeries, vasectomy, hernia, prostate surgeries, abdominal surgeries, surgeries for rectal cancers etc can be responsible for lowering the accurate sperm count in men. Through surgery, the issue can be cured to retrieve sperm count directly from the testicles.

Emotional stress

Emotional stress, depression or any sort of psychological issue hampers the production of the good amount of healthy sperm required to impregnate a woman. Men suffering from any work-related anxiety or emotional stress should workout or go for counseling to de-stress and feel positive. In this case, good herbal medication along with proper diet can contribute incredibility in maintaining the psychological balance of men.

Along with all these issues, men addicted to smoking tobacco or alcohol often suffer from producing a healthy sperm count needed for reproduction.

 

4 people found this helpful

Primary And Secondary Causes Of Hypogonadism

Dr. Shyam Mithiya 90% (713 ratings)
MD - Psychiatry, Diploma in Psychological Medicine, MBBS
Sexologist, Mumbai
Primary And Secondary Causes Of Hypogonadism

Male hypogonadism, also known as testosterone deficiency, is a failure of the testes to produce the male sex hormone testosterone, sperm, or both.Testosterone play an important role in sperm production.This condition can be due to a testicular disorder or the result of a disease process involving the hypothalamus and pituitary gland.

This is of two types including:
Primary type of hypogonadism is also known as primary testicular failure, which originates from a problem in the testicles.
Secondary type of hypogonadism indicates a problem in the hypothalamus or the pituitary gland through which parts of the brain that signal the testicles to produce testosterone
Either type of hypogonadism may be caused by an inherited (congenital) trait or something that happens later in life (acquired), such as an injury or an infection. At times, primary and secondary hypogonadism can occur together.

Common causes of primary hypogonadism include:

  1. Klinefelter syndrome
  2. Undescended testicles
  3. Mumps orchitis
  4. Hemochromatosis
  5. Injury to the testicles
  6. Cancer treatment

Causes of secondary hypogonadism:

A number of conditions can cause secondary hypogonadism, including:

 

  1. Kallmann syndrome
  2. Pituitary disorders
  3. Inflammatory disease
  4. HIV/AIDS
  5. Medications
  6. Obesity
  7. Concurrent illness

How Is Hypogonadism Diagnosed?
Your doctor will conduct a physical exam to confirm that your sexual development is at the proper level for your age. They may examine your muscle mass, body hair and your sexual organs.

Treatment:
Testosterone replacement therapy (TRT) is the most commonly administered as a topical gel, transdermal patch or by injection and is the recommended treatment for male hypogonadism.

You can get testosterone replacement therapy by:
injection
patch
gel
lozenge
Injections of a gonadotropin releasing hormone may trigger puberty or increase your sperm production.

Patients can also improve testosterone levels with lifestyle changes, including:

  1. Losing weight
  2. Exercising
  3. Managing stress
  4. Getting adequate sleep
  5. Avoiding alcohol
  6. Giving up smoking.

In adult males, hypogonadism may alter certain masculine physical characteristics and impair normal reproductive function.

6078 people found this helpful

Primary Signs Of A Brain Stroke!

Dr. Sumit Singh 86% (37 ratings)
DM - Neurology, MD - Medicine, MBBS
Neurologist, Gurgaon
Primary Signs Of  A Brain Stroke!

A stroke, also known as cerebrovascular accident (CVA), cerebrovascular insult(CVI), or brain attack, can occur when a part of the brain is deprived of blood flow. When brain cells are deprived of oxygen they begin to die, due to which the functions controlled by that part of the brain also stops, which results in different types of disabilities among stroke survivors.

There are two types of strokes

  • Hemorrhagic
  • Ischemic stroke

The first is caused when a brain aneurysm or a weak blood vessel bursts. Most of the time, this type of stroke leads to death. The second one happens when a clot blocks the flow of blood to the brain. Patients suffering from stroke suffer from various side-effects, the most common ones being paralysis or loss of feeling in a certain part of the body, problem in understanding or talking and loss of vision on one side. The side-effects start showing up immediately after a person has had a stroke.

In certain conditions, blood flow to a certain part of the brain stops for only some time and hence the body suffers stroke-like symptoms which only last a couple of hours before disappearing. This is known as a transient ischemic attack (TIA). Unfortunately, the effects of a stroke can be debilitating and also permanent. Hence, it's important to know the symptoms of a stroke and rush the patient to a doctor as soon as possible. Sometimes early treatment can save a lot of damage.

The primary symptoms of stroke are as follows:

  1. Confusion and problems while talking and comprehension
  2. Headache along with alteration of consciousness or vomiting
  3. Numbness of the face, arms or legs, especially on one side of the body
  4. Issue with seeing, through one or both eyes
  5. Inability to walk with stability, including disrupted coordination
  6. Problems with the bladder and bowel control
  7. Acute depression
  8. Body temperature fluctuates, and pain worsens with movement
  9. Paralysis on one side of the body along with fatigue
  10. Problem in expressing or controlling emotions

Risk Factors:

Diagnosis of stroke

Several tests are carried out to determine the type of stroke, such as

  1. Physical examination, which involves observing the patient's overall condition.
  2. Blood tests
  3. CT scans
  4. MRI scans
  5. Cerebral angiogram
  6. Echocardiograms

Stroke is a fatal brain disease and can cause permanent damage to your system so its best to check with doctor to know how you can prevent it.

5603 people found this helpful

What are the primary symptoms of breast cancer? What are the primary measures to be taken at first?

Dr. C.S. Ramachandran 86% (587 ratings)
FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
General Surgeon, Delhi
It is most important that if you notice a lump in the breast you must see a doctor. Feeling a lump is the first symptom, may have bloody nipple dischage. The primary measure is to see a doctor.
1 person found this helpful
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