In a healthy menstrual cycle, the reproductive hormones induce the ovaries to make the egg and release it every month.
Some women have absent or infrequent menses. While some ladies are not bothered with missing their menstrual period, a miss of 3 periods (either consecutively or throughout a year) warrants a visit of your doctor’s clinic.
The absence of menses is also known as amenorrhea. This can be subdivided into
Infrequent irregular menses is also known as oligomenorrhea. This is defined by fewer than 6-8 periods per year.
Your doctor will take a thorough, relevant medical history, and a full-body examination, including your face, neck, breasts, abdominal, and pelvic examinations. In sexually active patients, a pregnancy test will be offered. Depends on individual cases, further investigations such as blood tests, hormonal testings, ultrasound of the pelvis, MRI of the brain, genetic testing may be advised.
The goal of treatment is to treat the underlying condition and restore fertility in a woman who are in their reproductive phase of life.
Oral Contraceptive Pills
Hormonal oral contraceptive pills in the form of estrogen and progesterone combinations are commonly used to regulate and restore menses. This treatment also reduces the risks of osteoporosis in females in their later life.
Diet and Exercise
In ladies who experience exercise-induced amenorrhea, they should be advised to increase their calorie intake and reduce the intensity or frequency of exercise. It is advisable for 1200mg to 1500mg of daily calcium intake, and 400IU of daily vitamin D. Healthy lifestyle with good de-stressing techniques are encouraged.
Those with eating disorders often require further support from psychiatrist and dietician specialist to tackle the underlying cause.
Hormonal Replacement Therapy (HT)
In premature ovarian failure cases, hormonal replacement therapy (HT) may be offered to prevent symptoms and long term complications associated with menopause such as vaginal dryness, hot flushes, and osteoporosis. Current guideline recommends hormonal replacement therapy for women with premature ovarian failure until the age of 50.
Surgical Options and Others
Surgical procedures may be offered to patients with structural problems of the reproductive tract.
If you are in a serious, committed relationship and are not ready to have children, or simply want to have a modest family size, you might want to consider your birth control options in Singapore.
Combined oral contraceptive pills (COCPs) are a type of female hormonal birth control method that is effective in preventing pregnancy.
Vagina and vulva lumps and bumps is a topic that many women find way too embarrassing to discuss with their doctor.
Vaginal infection occurs when the microenvironment over these genital region is altered leading to overgrowth and/or colonization of pathogens, causing abnormal vaginal symptoms.
Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) affect 50-75% of women with regular menstrual cycles.
Painful period cramps, also known as dysmenorrhea, can be a debilitating condition that affects many female’s quality of life — having this symptom monthly can be a big bummer in life.
Cervical Cancer Screening is essential in detecting early cancerous changes and cancer cells in the cervix.
Breast Cancer Screening involves checking a woman’s breasts for cancer before any signs or symptoms of the disease by using a technology known as mammography to generate a mammogram x-ray of the breast tissue.