Do women who are not menstruating have a chance to become mothers? | Mostafa Bahchechi

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Many physical and hormonal factors can interfere with the cycle

Early amenorrhea is defined as never having menstruation. Secondary amenorrhea is the absence of menstrual bleeding for 3 consecutive months despite previous menstruation. Is never menstrual; It is caused by chromosomal and hormonal disorders, congenital anomalies, developmental disorders of the reproductive organs. Secondary amenorrhea may be due to depression, chemotherapy, steroids, cortisone use, birth control pills, excessive exercise, sudden weight change, imbalanced nutrition, thyroid and pituitary gland disease, hormonal disorders, cancer, sinusitis, polycystic ovary .

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Any condition that interferes with the secretion of hormones from the brain can disrupt the menstrual cycle. Congenital absence of hormones from the brain, excessive secretion of prolactin hormone secreted by our pituitary gland causes adenomas, complete disappearance of sleep patterns, eating disorders that can lead to excess weight loss and all types of endocrine disruptors that affect our metabolism. Menstruation can be irregular.

Problem prevention pieces must be identified

To keep women menstruating regularly, a stimulus is created from the brain to the pituitary gland and two hormones called FSH and LH are produced and transmitted to the blood. These hormones, produced in the pituitary gland, stimulate the development of follicles in the ovaries. And enables ovulation to occur. The follicles that develop in the ovaries produce the hormones estrogen and progesterone, and these hormones thicken the lining of the uterus to prepare for pregnancy. If pregnancy does not occur after ovulation, the secretion of the hormone progesterone in the ovaries stops and when the level of this hormone suddenly decreases, menstrual bleeding begins.

The body begins a new menstrual cycle that begins with bleeding that begins with the secretion of the inner layer of the uterus. Any hormonal, glandular or organ-related disorder involved in this process can alter or disrupt the menstrual cycle. Menstruation is the result of ovulation. Ovulation is not stimulated due to improper functioning of the process, thus ovulation does not occur. As a result of the absence of ovulation, the menstrual cycle does not occur. The first step we will take in case of patients applying for irregular menstruation or amenorrhea is an ultrasound examination.

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On ultrasound, it is necessary to look at the condition of the ovaries and uterus. Then, through laboratory tests and radiological imaging tests, the cause of the menopause is determined. With the results of hormone tests, the path we will follow begins to take shape. Once the factor that interferes with the formation of menstrual bleeding is identified, the existing problem is eliminated by medication or surgery. If the result of the hormone test we call FSH is very low, then we supplement the hormones that need to be secreted from the brain through external injections. Lack of ovulation is the main reason for menstrual irregularities, especially in cases where menopause is approaching. In such patients, treatment should be applied to control ovulation and eliminate menstrual irregularities.

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Can Women Continue Pregnancy Through IVF Treatment Without Periods?

With the contribution of today’s healthcare system and advanced technology, IVF treatment is quite advanced. Couples who cannot conceive for a variety of reasons, as well as women who are unable to menstruate, may become pregnant through in vitro fertilization treatment, if properly diagnosed, as an alternative to adjuvant fertility treatment. Especially in the case of early menopause, which can be expressed as the end of menstruation under the age of 40, successful results are obtained through personalized treatment and pregnancy is achieved by obtaining a small number of eggs. Women with polycystic ovary syndrome, which causes non-menstrual or irregular menstruation, are also among the patients who are more likely to become pregnant when in vitro fertilization treatment is applied.

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