Amenorrhoea

Amenorrhoea is sutu condition where a woman who is still in the fertile age (not menopause) and non-pregnant but not getting your period or menstruation. 

Generally, women had menstruation during puberty. The period of puberty also varies between each woman. Between ages 11 to 16 years. 

There are two types of amenorrhea, primary and secondary. Primary amenorrhea refers to women who did not had my period since the age of puberty to adulthood. 

Whereas secondary amenorrhea is a condition where a woman had experienced menstruation and suddenly stop to at least three consecutive months. Cases of secondary amenorrhea is more common than primary amenorrhea. 

Cause  
Primary amenorrhoea  

• Abnormalities of chromosomes. Several types of chromosomal abnormalities can cause impaired egg cell so that the effect on the menstrual cycle.  

• Disturbances in the hypothalamus gland.  

• Organ vagina that is not perfect. Genital organ formation during fetal imperfect can cause a woman has no vagina parts perfectly. Suppose a woman has no uterus, uterine, or vaginal. Incomplete vaginal organ effect on the menstrual cycle.  

• Disorders of the pituitary gland. Pituitary gland is a gland that is responsible for the menstrual cycle of women. If this gland disorders such as tumors, inflammation, or infection, the menstrual cycle disrupted participate.  

• The structure of the vagina is not normal. The shape of the vagina, either outside or in the form, affects the menstrual cycle. Menstruation can happen, but because the shape of the vagina that blocks the menstrual blood out of the body, then menstruation is considered never happened.

Secondary amenorrhoea  

• Pregnancy.  During pregnancy, women will not be getting your period. This is the most common cause of secondary amenorrhoea * The use of contraceptive pills. Several types of contraceptives like birth control pills can make the menstrual cycle disrupted. Menstruation can return to normal when using the pill is stopped. * The period of lactation. Mothers who are in a period of exclusive breastfeeding is often not getting your period, despite having given birth. Pregnancy can affect the length of the menstrual cycle.  

• Expenses of mind or stress. A too heavy burden of thinking can affect the hypothalamus gland that regulates the body's hormonal balance. If the hormone the body is compromised, the menstrual cycle and fertilization can be suspended. Periods will come back if the woman is not stressed. * The influence of drugs. Several types of drugs can affect the menstrual cycle. Eg type of drug antidepressants, antipsychotics, and chemotherapy drugs. * Impaired body's hormonal balance. * Excess or underweight. Excess or underweight can disrupt the body's hormonal functions. Women who have abnormalities in foods such as anorexia or bulimia often experience amenorrhea.  

• Exercise that is too heavy. Women who are fond of heavy exercise can experience menstrual cycle disturbances.  

• Disorders of the thyroid gland. Disturbances in these glands can lead to the production of prolactin, a hormone responsible for female fertility, disturbed. Consequently participate disrupted menstrual cycle.

Handling  
Handling in case of amenorrhoea depends on the cause. If it is caused by excess or shortage of weight, then how penangannaya by changing patterns of everyday life. If the disorder is caused by thyroid or pituitary gland, then how to handle the administration of drugs. 

There are a few tips that can be done to avoid amenorrhoea, including:  
* Change to a healthier lifestyle.  
* Balance between work, recreation, and rest.  
* Reduce the burden of thinking or stress.  
* Beware if you are not getting your period for three months. Consult a gynecologist.