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Amenorrhea is a problem that affects many women of all ages There are three types of amenorrhea primary secondary and athletic The causation of each type is different and so the way to treat each of them is different Some amenorrhea is harmless and has no bad effects on the body but these three types have long term effects that can harm the body Amenorrhea such as pregnecy or menopause being the cause is natural and happens to almost all women Primary is the first type of amenorrhea and it affects women who have not started menstruating by the age of 16 This is often caused by a hormonal imbalance or growth development problems Primary amenorrhea can be treated by hormones in a pill form or surgery Treatment depends on the cause of the amenorrhea Pituitary tumors are usually treated with bromocriptine a drug that inhibits prolactin secretion Green 1 Surgery removal may also be suggested Radiation therapy is usually reserved for situations where other medical or surgical treatment regimens are not successful Cameron 44 Young women with primary amenorrhea found to be caused by developmental abnormalities may require hormonal supplementation surgery or both Klinger 1 In any case psychosocial support and counseling for the patient and family is necessary to address specific concerns and provide guidance regarding anticipated sexual development If the problem causing the amenorrhea is not correc table than the patient and health care provider should consider the possibility of creating pseudo-menstruations This is a menstrual period that is caused by hormonal treatment rather than natural causes Cameron 65 Secondary amenorrhea affects women who have previously had normal periods and now it is absent To be considered secondary amenorrhea the menstrual cycle must be absent for at least a length of six months Treatment depends on the cause of the amenorrhea If it is caused by another systematic disorder normal menstrual function usually returns after the primary disorder is treated
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