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原發(fā)性閉經該怎么辦？能不能試管助孕？

出處：@深圳中山婦產醫(yī)院 日期：2024-07-17 13:26:23 編輯：網絡收集

原發(fā)性閉經是怎么樣的?

閉經又分為原發(fā)性閉經和繼發(fā)性閉經兩種，其中的原發(fā)性閉經主要針對的是青春期少女，一般超過16歲且第二性征已經發(fā)育，但又沒有來月經的跡象;或者年齡超過14歲，連第二性征都沒有發(fā)育，這兩種情況都屬于原發(fā)性閉經。

至于繼發(fā)性閉經，指的則是月經正常后連續(xù)6個月或以上沒來月經，或者按自身原有月經周期計算停經3個周期以上。

不管是哪個類型的閉經都是比較常見的，包括精神因素，營養(yǎng)不良或慢性消耗性疾病以及長期避孕藥，多囊卵巢綜合征等。此外，甲狀腺，腎上腺和胰腺等功能障礙也可能導致閉經。

然而在經歷了閉經之后，許多女性有重大的心理負擔，長期如此，這將帶來一系列的精神癥狀。例如，閉經后可能會導致子宮萎縮或生理功能不足，如分泌物減少等。如果還有生育需求的患者們可以咨詢醫(yī)生的建議，有需要的情況下是可以試管助孕成功的。

月經不調的表現(xiàn)形式有：經期推遲、經期提前、出血量異常、經期時腹痛、痛經以及全身癥狀等。因此月經不調要根據病癥進行治療，還需要生育的患者們可以咨詢醫(yī)生，為試管助孕做好相關準備。

1、繼發(fā)性痛經：這種狀況常由于盆腔器質性病變引起。消除了引起痛經的器質性病變，痛經就能改善。

2、月經周期正常，經期延長達一周以上，經量多：這情況大多數(shù)是黃體萎縮過程延長導致子宮內膜不規(guī)則剝脫?？梢宰詼y基礎體溫，基礎體溫雙相，但下降緩慢。

3、月經周期紊亂：表現(xiàn)為經期長短不一，出血時多時少，甚至大量出血，有時先有數(shù)周或數(shù)月停經，然后又發(fā)生陰道不規(guī)則流血，多見于青春期和圍絕經期。需要應用激素進行止血、調整周期和促排卵治療。

4、功能失常引起的月經失調：在治療的過程中，根據是否有生育要求來決定治療方案。

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