General Medical Advices

Consultation with a doctor and several tests (pregnancy tests, hormone assay in blood, a physical examination, etc..), Will identify the cause of amenorrhea. The application of preventive measures mentioned above allows the return of menstruation in many women:
- Healthy eating;
- Maintaining a healthy weight;
- Stress Management;
- Moderation in the practice of physical exercises.
Thus, in most cases, medical treatment is not necessary, but it is equally important to identify the cause of amenorrhea, treating the underlying disease as appropriate and of get emotional support when needed.

Medication

Hormonal Treatments
In the case of a malfunction of the ovaries in a young woman, hormone therapy is suggested to occur as the development of sexual characteristics and fertility, and to prevent osteoporosis in the long term.

The arrival of amenorrhea in the menopause can be delayed by a combined hormone replacement therapy (estrogen and progestin), which causes a return or retention of menstruation artificially without restore ovulation. However, with the publication and media coverage of recent studies analyzing the risks of combined hormone replacement therapy at menopause, the current trend in medical circles is to use this treatment only under certain conditions (if symptoms menopause are very bothersome, for example), for a maximum of five years. Thus, women who have mild symptoms will be encouraged to try other means (see description menopause), as those who by their genetics, are at greater risk of cancer.

For women who underwent surgical removal of the uterus and ovaries, hormone therapy with estrogen alone (without progestin) may be taken to prevent osteoporosis and other complications due to lower estrogen levels .

Non-hormonal treatment
Bromocriptine is a drug highly effective in reducing prolactin levels and allows the return of menses.

Surgical treatment
If the delayed puberty is caused by an abnormality of the reproductive tract, surgery may be undertaken.

Psychotherapy
If amenorrhea is accompanied by a neurotic disorder underlying it is possible that the physician provides psychotherapy. The parallel use of estrogen is still recommended.

Amenorrhea associated with anorexia nervosa require mandatory monitoring by a multidisciplinary team including a nutritionist, psychotherapist, psychiatrist, etc.. Victims of this type of amenorrhea are usually young women and even teenagers.

In case of significant psychological trauma (rape, loss of a loved one, accidents, etc..) Or personal conflicts (divorce, financial difficulties, etc..) Amenorrhea for several months or even years, may settle, and this, especially in a woman whose mental balance was fragile. The best treatment is time to consult a psychotherapist.

Caution
If left untreated, amenorrhea long can cause several problems, including infertility.

Complementary

Caution.
Self-treatment of amenorrhea is not recommended. This type of problem, except in cases of delayed puberty, may hide a more serious. Moreover, it is important to rule out the possibility that there is a pregnancy. Several interventions designed to induce menses are not recommended during pregnancy. Consult a physician before starting an unconventional treatment.

The proposed plants are traditionally known to have, after several weeks of treatment, a regulatory effect on the menstrual cycle. However, in general, very few clinical studies have confirmed the existence of such medicinal properties.

Chaste Tree (Vitex agnus castus)
Commission E acknowledges its fruit of chaste tree to treat menstrual irregularities. According to Commission E, in vitro studies and on animals indicate that the compounds chasteberry reduce the production of prolactin by the pituitary gland. However, an excess of prolactin can lead to amenorrhea. One preliminary clinical trial was related 1. During this trial lasting six months, researchers gave 40 drops of extract of chaste tree per day to 20 women with amenorrhea. At the end of the study, 10 of 15 women who continued the treatment until the end were menstruating again.

Angelica (Angelica sp)
In Asia, Chinese angelica (Angelica sinensis) is considered the key remedy to ensure the proper functioning of the female reproductive system. It is used both to treat dysmenorrhea, amenorrhea, menorrhagia the symptoms of menopause for pregnancy support and promote a positive birth. At first glance, the chemical composition of the European species, Angelica archangelica and that of the North American Angelica atropurpurea, is not that different from that of Asian species. Their medicinal properties may however be different. The European species is still traditionally used to trigger menstruation that are slow. The effectiveness of these plants is due to their content of phytoestrogens, compounds that act in the body just like the natural hormones such as estrogen, but with much less power.

Acupuncture
Acupuncturists believe that amenorrhea often be linked to impaired functioning of the Liver and Kidney. Their treatment is mainly to strengthen the functioning of these organs. Acupuncture may also regulate the endocrine functions and help the return of ovulation.

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