Causes of Amenorrhea and Associated Symptoms

Among the causes of amenorrhea, or interruption of menstruation, there are usually situations of severe physical or emotional stress, such as:

  • Very restrictive diets.
  • Eating disorders, such as anorexia, bulimia, or both.
  • A very intense physical training.
  • Long periods of very intense work.
  • Hard emotional trauma.

Stressful situations cause a drop in energy availability in the body. In addition to the cessation of monthly bleeding, other symptoms derived from hormonal imbalance usually appear, such as vaginal dryness, loss of libido, hair loss, osteoporosis, emotional ups, and downs, etc.

Depending on the causes, we can establish different types of amenorrhea that will influence when choosing the most appropriate treatment:

Hypothalamic amenorrhea: 

It mainly affects very self-demanding and responsible women, after a period of strong emotional stress.

Amenorrhea due to increased prolactin: 

The characteristic symptoms are homesickness, easy crying, lack of libido, the desire to isolate, not wanting to go out, lack of motivation to start and finish tasks. Elevated levels can cause milk secretion without being pregnant . Although stress and certain drugs (contraceptives, anxiolytics, antihypertensives, proton pump inhibitors, etc.) cause an increase in this hormone, it is important to order a blood test to rule out a pituitary adenoma (prolactin above 100 mg /L).

Amenorrhea due to thyroid involvement:

Amenorrhea can also result from hypofunction of the thyroid gland.

Amenorrhea in polycystic ovary syndrome (PCOS): 

This is a hormonal imbalance that causes small cysts to form in the ovaries, leading to irregular and anovulatory bleeding. Excess body hair, acne, or hirsutism are common signs, as is excess free testosterone in the blood. The causes of this imbalance can be several: poor detoxification of androgens increased resistance to insulin (hyperglycemia) or decreased sensitivity of the follicle to the hormone FSH.

Treatment Of Amernorrhea: How To Get Your Period Back?

Depending on the cause of amenorrhea, we can do different things to restore balance and regular menstrual bleeding.

These treatments to restore menstruation should not be followed without proper advice and are not a substitute for medical advice. Before following them, consult with your doctor or with a specialist in natural medicine.

In Case of hypothalamic Amenorrhea

The treatment of amenorrhea of ​​this type involves making behavior more flexible and managing stress:

  • Make a list of stressors and start by removing the one that is easiest.
  • Adjust caloric intake to daily activity.
  • Perform moderate exercise during the day.
  • Avoid blue light before going to sleep (TV, tablets, mobile...).
  • Eat early and respect the hours of rest.

If you have trouble falling asleep or night awakenings occur, it is usually due to an excess of adrenaline and/or lack of melatonin; in this case, it may be effective to take one of these supplements:

Ashwagandha ( Withania somnifera): 

one 500 mg tablet of this plant with adaptogenic properties, twice a day.

Magnesium : 

of this essential mineral for the relaxation of the nervous system, you can take between 400 and 600 mg daily.

L-tryptophan: 

an amino acid related to relaxation, about 500-1,000 mg daily.

Melatonin: 

It is known as the sleep hormone. The dose would be 0.5-1 grams at 8 pm and 0.5-1 grams at 10 pm.

If what happens is that you wake up at dawn , it is because you generate an excess of premature cortisol. In this case, the important thing in the treatment is to lower the systemic inflammation with a diet rich in fresh and natural products. As for helping yourself with supplements, it is more useful to take:

L-theanine: 

An antioxidant present in tea that promotes relaxation. Dosage: between 50 and 200 mg daily.

GABA or gamma-aminobutyric acid: 

This neurotransmitter inhibits the central nervous system and reduces excitability. Low GABA levels are associated with insomnia and mood disorders, such as anxiety, sadness, and depression. Dosage: between 500 and 750 mg daily.

Magnesium: 

between 400 and 600 mg daily.

In both cases, treatment can be completed with phytoestrogens, such as those from the black cohosh plant ( Actaea racemosa ): 150-300 mg of the dry extract are taken daily for 15 days a month.

In Cae of High Prolactin

To lower prolactin, as long as the cause is not an adenoma, it is useful to take:

  • Chasteberry ( Vitex agnus-castus ): between 500 and 1,000 mg daily.
  • Vitamins B9 (400-600 mcg) and B12 : between 100 and 300 mcg, methylated.
  • Choline : between 400 and 1,200 mg.
  • Zinc : 20 mg per day.
  • SAM-e (S adenosylmethionine): 800-1,200 mg daily.

It is also interesting to assess the intake of Mucuna pruriens (400-1,600 mg/day), a plant that acts as a precursor of dopamine, a hormone that acts as an inhibitor of prolactin.

In Case of Thyroid Involvement

In this case, the treatment of amenorrhea involves finding out the cause of this hypothyroidism and treating it appropriately. Heavy metal poisoning, as well as certain viruses and bacteria, may be involved in this alteration.

Ayurvedic medicine recommends guggul ( Commiphora mukul ), an oleoresin from the myrrh tree, to stimulate the function of this gland. Its intake helps increase the absorption of iodine and improves the activity of thyroid enzymes, in addition to sensitising hormone receptors so that they react effectively to stimuli.

In Case of Polycystic Ovary Syndrome

If the origin of the amenorrhea is polycystic ovaries, various supplements can be taken for various purposes:

To enhance hepatic clearance of androgens, NAC (n-acetylcysteine) (600 mg daily), molybdenum (400 mcg daily), and vitamin B2 or riboflavin (100-400 mg daily) can be taken.

Cinnamon (1-3 grams per day) and chromium picolinate (600 mcg per day), eliminating dairy and physical exercise improve hyperglycemia.

Taking myo inositol (4 g/day) increases follicular sensitivity.

The treatment can also include a daily antiandrogenic infusion based on dried licorice and cinnamon sticks. This infusion activates the release of the hypothalamic hormone GnRH, which in turn promotes the synthesis of the ovulation-stimulating hormones FSH and LH.