Doctor insights on:
Can You Conceive When You Have Secondary Amenorrhea
2ndary infertility: Yes, but usually with special assistance and/or resolution of the central or hypothalamic-pituitary problem triggering the amenorhea. For example, excessive exercise is a cause of amenorrhea which will resolve with lighter exercise. Post-pill amenorrhea may take a variable time to resolve.
Can a teenager with secondary amenorrhea conceive later in her life? Or will she have complications?
Yes: If the cause for secondary amenorrhea is resolved she should have no issues assuming everything else is normal.
Maybe: There are many causes of amenorrhea. Evaluations by primary care doctors, ob-gyn doctors, and infertility specialists can determine if a woman with amenorrhea can become pregnant. If a woman had menses in the past, and now has "secondary" amenorrhea, she may be able to get pregnant if her menses return. If she was born missing some parts of her female organs, then pregnancy might not be possible.See 2 more doctor answers
Maybe: Depends on the reason for primary amenorrhea, very complex subject. How old is your friend, and does she have a diagnosis beyong primary amenorrhea?
Secondary amenorrhea: Possible, but you have to find the cause of the amenorrhea, and correct it! clearly, you have to be ovulatory as well.
See a GYN for tests: If your brain isn't signalling for an egg release from your ovary, you won't have a signal for your periods either; that's usually the cause of amenorrhea. Often it's a hormonal imbalance--Thyroid, Prolactin, LH, FSH, Hcg should be checked. Your doctor can also induce a period as well w/ OCPs. If you've NEVER had a period, you should get an US to make sure you have normal uterus/vagina/ovaries.See 1 more doctor answer
Discuss with doctor: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively.
Missed periods: Secondary amenorrhea is when you stop having periods after previously having them.
Depends on the cause: If the amenorrhea is due to not ovulating, we worry about uterine cancer and hyperplasia as well as issues that may be related to the cause such as diabetes or heart disease. If the amenorrhea is related to low estrogen such as in anorexia or early menopause, we worry about osteoporosis, and again any medical issues related to the cause.
Easy: If you have never had a menstrual period that is by definition primary amenorrhea. In that case usually a woman lacks normal ovaries. If a woman has already had normal menstrual periods for a while and then stops menstruating prematurely (before menopause) then we are dealing with secondary amenorrhea. This usually has a reversible cause that can be diagnosed with simple tests and easily treated.
Hormone challenge: The first step would be to perform a full history and physical exam at the gyn md's office, and rule out pregnancy. If there is no pregnancy, attempt to determine the cause by an initial Progesterone challenge with a pill for 10 days to "induce withdrawal bleeding". If that fails, other studies may be done including a pelvic ultrasound and ancillary blood testing..See 1 more doctor answer
Multiple: Hi. The term "secondary amenorrhea" generally excludes the trivial causes of pregnancy and menopause. Ergo, assuming it's unexplained, there are genetic causes for premature ovarian failure (e.g., Fragile X Syndrome), gonadal toxicity (e.g., chemotherapy), and hormonal (usually androgens of adrenal or ovarian source). At age 47 (your stated age), I would have to say menopause is most likely.See 1 more doctor answer
Maybe - it depends..: Maybe, it depends on what is causing this condition in you. There are many causes, and they are extremely different, so require very different remedies. They vary from weight loss to supplements to accupuncture. Please see your doctor for further information.
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