Can a woman with amenorrhea get pregnant?

This article was professionally consulted with Specialist Doctor I Truong Nghia Binh - Obstetrician - Gynecology Department - Vinmec Danang International General Hospital.

Menstruation is a normal physiological phenomenon of women of reproductive age. However, there are some women who do not see their period, also known as amenorrhea, this can be the cause of affecting reproductive health later, so can amenorrhea be able to get pregnant?

Amenorrhea is the temporary or permanent absence of menstruation due to dysfunction of the hypothalamus, pituitary gland, ovaries, uterus, or vagina. Amenorrhea is divided into 2 types:
Primary amenorrhea: is a case of women who are too old to have a period but still do not have a period. present in 3 consecutive cycles (maybe more than 3 months) or more.

In addition, amenorrhea is also divided into 2 types:
False amenorrhea when a woman still has her period every month but the menstrual blood does not flow out (to know if a period is present) but stays inside due to a defect. defects in the genital system such as no vagina, sealed hymen. True amenorrhea is a case in which a woman's external genitalia has an almost normal structure, but from puberty to adulthood, she has never had a period.

Amenorrhea due to systemic condition: people who are too thin and weak due to malnutrition, anemia, poisoning, liver disease, chronic kidney disease.... Some people have to take long-term tranquilizers and drugs. metabolism or anticancer drugs with amenorrhea. Amenorrhea can appear when there are excessive neurological fluctuations such as joy, sadness, fear, hard work, changes in living environment... Amenorrhea due to endocrine dysfunction: endocrine command area in the brain is degraded, or due to overactivity of the entire system or parts, affecting the activities of other parts of that system. Disorders of other endocrine glands in the body such as adrenal gland, thyroid gland... Amenorrhea due to abnormality: malformations, defects of the body or of the genitals, especially in the ovaries, uterus. Women have genetic disorders of chromosomes that prevent the body, especially the genitals, from developing; People with birth defects: no ovaries, no uterus. In some cases, although there are ovaries, there is a uterus but there is no vagina or because the hymen covers the vagina, causing false amenorrhea. In cases of reproductive diseases or complications, brain damage or having to remove the uterus, ovaries will have amenorrhea after surgery. Diseases in the uterus, especially uterine tuberculosis, cases where curettage and suction are repeated many times, causing the loss of the uterine lining or causing the uterus to stick will lead to oligomenorrhea or amenorrhea.

For people with primary amenorrhea, there is a high chance that the ovaries are not functioning properly, which makes conceiving more difficult than in the general population.

As for those with secondary amenorrhea, the ovulation cycle will be disrupted, affecting conception or in other words, conception is very difficult.
Therefore, when there are signs of amenorrhea, women should soon go to medical centers, specialized obstetrics and gynecology facilities for an accurate examination and diagnosis, from which appropriate treatment methods are available.
The package of examination and screening for gynecological diseases at Vinmec applies to cases of women with irregular menstrual cycles, amenorrhea... Through examination, testing, ultrasound to evaluate the results to Since then, the doctor has come up with a scientific treatment plan, avoiding the risk of long-term diseases affecting reproductive health and psychophysiology in women.