HYPOTHALAMIC AMENORRHOEA

Description

  • Amenorrhoea due to hypothalamic dysfunction. Women under constant stress performing strenuous exercise develop amenorrhoea due to a decrease in GnRH pulse frequency with elevation in endogenous opioids and corticotrophin release hormone (CRH)
  • Menstruation become irregular when BMI is < 19 kg/mm2

Etiology

  • Nutritional deficiency
  • Strenuous exercise
  • Stress factor

Types

  • Absence of menstrual cycles for several months
  • Decrease in bone mass density
  • Osteopenia
  • Osteoporosis
  • Depression
  • Anxiety

Investigation

  • BMI(< 19 kg /mm2)
  • Serum FSH(Elevated)
  • Serum LH
  • Serum Estradiol
  • Reduced GnRH
  • Low serum insulin level
  • Elevated corticotrophin-releasing hormone (CRH)
  • Lower 24 hr Prolactin level
  • Low total triiodothyronine

Treatments

  • Dietary support
  • Psychological support
  • Short term oestrogen therapy

Ayurvedic Treatment

Internal Medicines

  • Sukumaram Kashaya
  • Sathavaryadi Kashaya
  • Phalasarpis
  • Sathapushpa Choorna
  • Dhawantharam Gutika
  • Manasamithra Vataka
  • Aswagandha Choorna

Procedures

  • Marsa Nasya - Ksheerabala
  • Thakradhara

Department

Female Infertility

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