What are the treatments for central amenorrhea?

Treatments for central amenorrhea include medication, lifestyle adjustments, and psychological interventions. Depending on the cause, treatments may involve hormone replacement, nutritional improvement, stress management, and other measures.

1. Drug therapy is one of the main treatments for central amenorrhea. Commonly used drugs include gonadotropin-releasing hormone GnRH analogs, estrogen and progesterone combination therapy. GnRH analogs help restore the menstrual cycle by regulating the function of the hypothalamus-pituitary-ovarian axis. Estrogen and progesterone combination therapy can simulate the normal menstrual cycle and improve the state of the endometrium. Dopamine agonists such as bromocriptine are suitable for amenorrhea caused by hyperprolactinemia and restore ovulation by lowering prolactin levels.

2. Lifestyle adjustment is crucial for the treatment of central amenorrhea. Insufficient nutrition or excessive dieting are common causes. It is recommended to increase the intake of high-quality protein, healthy fats and complex carbohydrates, such as fish, nuts, whole grains, etc. Being underweight or overweight may affect menstruation. Maintaining a moderate weight can help restore endocrine balance. Regular exercise such as yoga and walking can help relieve stress, but excessive exercise should be avoided.

3. Psychological intervention cannot be ignored in the treatment of central amenorrhea. Long-term stress, anxiety or depression may inhibit hypothalamic function and lead to amenorrhea. Cognitive behavioral therapy can help patients identify and change negative thinking patterns and reduce psychological stress. Relaxation training such as deep breathing and meditation can help reduce stress hormone levels. Psychological counseling or antidepressant drug treatment can be considered if necessary.

4. Other treatments include Chinese medicine conditioning and physical therapy. Chinese medicine believes that central amenorrhea is often related to insufficient qi and blood, liver depression and qi stagnation, and symptoms can be improved through Chinese medicine conditioning such as angelica, Chuanxiong, white peony, etc. Acupuncture therapy regulates endocrine function by stimulating specific acupoints. Physical therapy such as hot compress and massage can improve pelvic blood circulation and promote endometrial repair.

The treatment of central amenorrhea requires a personalized plan based on the specific cause. Timely medical treatment and a comprehensive examination and evaluation to determine the treatment plan are the key. While adhering to treatment, attention should be paid to improving lifestyle and adjusting psychological state, which will help restore normal menstrual cycles. Regular follow-up and monitoring of treatment effects, and adjustment of treatment plans when necessary, are important measures to ensure long-term efficacy.