AMENORRHEA
Treatment & Homeopathic Medicines
#Pulsatilla [Puls]
Comes first to mind as the homoeopathic remedy for menstrual suppression. It is
indicated where the menses flow by fits and starts, or when the suppression is
due to wetting of the feet; also, in delayed first menses in chlorotic girls. It
must be carefully distinguished from Dulcamara, which has menses suppressed from
getting the feet wet, but whose temperament is not that of Pulsatilla. Bayes
remarks that in amenorrhoea with anaemia "great judgment is required in the
selection of the dilution, which ought to vary from the 30th to the 1st,
according to the sensitiveness of the patient, " Jahr ranks Sulphur with
Pulsatilla for insufficient pale menstruation. The Pulsatilla patient is
disinclined to exertion, with poor appetite and longing for acids,is apt to
faint easily and suffers from a tremulous anxiety. Senecio is useful also in
amenorrhoea with chlorosis.
Primary Amenorrhea:
It occurs when a woman has not had her first menstrual period (menarche) by
age 16. Primary amenorrhea is also called "delayed menarche," it is most often
due to late puberty, which is fairly common in teenage girls who are very thin
or very athletic. In other girls, the delay of menstruation may be due to
Turner's syndrome, a genetic disorder involving the sex chromosomes, or to
abnormal female reproductive organs.
Secondary Amenorrhea:
It happens when a woman who has menstruated previously fails to menstruate
for three months. This type of amenorrhea can be caused by:
Pregnancy
Breastfeeding
Menopause, the normal age-related end of menstruation
Surgical removal of the uterus
Stopping birth control pills
Tumors of the pituitary gland
Emotional or physical stress
Rapid weight loss
Obesity
Frequent strenuous exercise
Chronic (long-term) illness, such as colitis, kidney failure or cystic
fibrosis
Chemotherapy for cancer
Cysts or tumors in the ovaries
Symptoms of Amenorrhea Secondary
Amenorrhea means the absence of or the suppression of menses. It is a
condition in which there is suspension or temporary cessation of the discharge
after it has been regularly established. This may be sudden in its onset,
violent and accidental suppression or it may come on in gradual manner. The more
sudden the suppression, the more violent and severe will be the resulting
symptoms. The consequence of sudden suppression may be severe spasmodic pains in
the stomach and bowels, often attended with retching to vomit, fever, headache,
flushed face, wild delirium, convulsions, hysteria, palpitation of the heart,
difficulty of breathing, etc. When the suspension of the discharge is gradual,
or arises from causes operating in the interval, the evil consequences will not
appear so suddenly. The lady will become pale, languid and. debilitated; loses
her appetite and ambition; looks sickly and dejected; feet and ankles swell;
nervous symptoms set in; palpitation of the heart; shortness of breath; and in
persons predisposed to consumption that disease is most sure to follow.
Causes of Amenorrhea Secondary
There are many causes which may result in the suppression of menses. Exposure
to cold and damp, getting feet wet and sitting on damp floor are most common
causes of this obstruction. It may also be due to sudden and powerful mental
emotions and grief. Diseases of the chest, liver and of the organs directly
concerned may also give rise to suppression. Besides this there may be other
causes like sedentary and indolent life of luxury with no exercise, "excessive
sexual indulgence, mechanical obstruction, tight clothes obstructing flow of
blood, excessive hemorrhage, catching sudden chill and any acute or chronic
disease.
Diagnosis of Amonorrhea
Diagnosis begins with a gynecologist evaluating a female's medical history
and a complete physical examination including a pelvic examination. A diagnosis
of amenorrhea can only be certain when the physician rules out other menstrual
disorders, medical conditions, or medications that may be causing or aggravating
the condition. In addition, a diagnosis of amenorrhea requires that a female has
missed at least three consecutive menstrual cycles, without being pregnant.
Young women who have not had their first menstrual period by the age of 16
should be evaluated promptly, as making an early diagnosis and starting
treatment as soon as possible is very important.
Tests include:
1.Physicalexamination and medical history
2.Urine pregnancy test
3.Progesterone withdrawal
4.Chromosome analysis
5.Serum chemistry (serum gonadotropin)
6.LH and FSH
7.Prolactin
8.TSH and T3 and T4
9.Urine chemistry, 17-ketosteroids
10.Head CT and MRI scan
11.Ultrasound of pelvic region and Laparoscopy
Treatment of Amenorrhea Secondary
Your physician may prescribe various types of hormones to see whether your
ovaries are functioning normally.
Provided no underlying disorder is causing the amenorrhea, treatment is
generally unnecessary. However, because women who are not menstruating seem
susceptible to osteoporosis, your physician may suggest that you take estrogen
and a calcium supplement.
If an underlying disorder is to blame for either primary or secondary
amenorrhea, the treatment will depend on the nature of the disorder
Prevention of Amenorrhea Secondary
PRIMARY AMENORRHEA
In many cases, teenage girls can help to prevent primary amenorrhea by
following a sensible exercise program and by maintaining a normal weight for
their height and age. Primary amenorrhea caused by anatomic abnormalities of the
reproductive tract cannot be prevented.
SECONDARY AMENORRHEA
Secondary amenorrhea that is related to diet, over-exercise or stress, can be
treated by following simple steps:
Eat a low-fat diet that meets your recommended daily nutritional needs.
Exercise moderately, but not excessively, to maintain an ideal body weight
and muscle tone.
Find healthy outlets for emotional stress and daily conflicts.
Balance work, recreation and rest.
General Home Care of Amenorrhea Secondary
Amenorrhea in itself causes no problems except that it means a woman cannot
get pregnant while it lasts.
If there is some underlying disorder that needs to be treated, periods will
usually return with restored health.
If spotting happens at the time when normally menstrual period is expected,
patient could possibly be pregnant.
Avoid tea, coffee and alcohol, eat lots of raw vegetables and
take moderate exercise regularly
Education
www.edu.safeurlives.com
INSURANCE
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