Why do women not menstruate? 7 major reasons why women do not menstruate
Asked by:Twilight
Asked on:Apr 15, 2026 02:05 AM
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Cheyenne
Apr 15, 2026
My aunt comes to visit me once a month, which is really annoying. But it would be even more annoying if my aunt suddenly stopped coming. Because many women think that they must be suffering from something if they don’t have menstruation. disease , in fact, this is not necessarily the case. In order to understand the truth, some people asked women why they don’t menstruate? Irregular menstruation What are the symptoms? Next, I will introduce them one by one for your reference.
Why don't women menstruate?
1. Reason for surgery
Cervical adhesions caused by uterine surgery can cause menstrual blood stasis and prevent menstruation.; flow of people After surgery, ovulation will be delayed due to changes in the body's hormones, and menstruation will be delayed.
2. Tuberculosis Uterus Enditis
Mycobacterium tuberculosis invades the endometrium, causing it to become inflamed, damaged to varying degrees, and scar tissue appears, thus amenorrhea . Therefore, once you suffer from tuberculous endometritis, you must treat it promptly.
3. Reasons for pregnancy
For women of childbearing age who have had sexual intercourse, when menstruation is delayed, they often doubt whether they have abnormal menstruation or are pregnant. This problem is a very common phenomenon in daily life.
4. Atresia of the lower reproductive tract
For example, in the cervix, vagina, hymen and other places, some parts have congenital atresia, or acquired adhesion atresia caused by acquired damage. Although menstruation occurs, menstrual blood does not and cannot flow out. This is called recessive or pseudoamenorrhea.
5. Ovarian causes
It is also called ovarian amenorrhea. It occurs during normal menstruation. If menstruation is delayed, it is because the hormones secreted by the ovaries act on the endometrium and then change, resulting in shedding and bleeding. If the ovaries cannot secrete hormones, the endometrium will not change and menstruation will naturally stop.
6. Excessive weight loss
many female In order to control weight, taking some weight loss drugs or excessive dieting can lead to delayed menstruation. If this situation is short-lived, the normal menstrual cycle can be restored naturally, but for longer periods, medication is often required to restore the normal menstrual cycle.
7. Side effects of drugs
Endocrine disorders after long-term use of contraceptive pills can also cause delayed menstruation. Based on patient feedback, doctors also discovered that the new generation of gastric motility drug Domperidone, also known as domperidone, may also cause gastric cancer. Because dopamine does not easily penetrate the blood-brain barrier, it is believed to have no inhibitory effect on central dopamine receptors. The central dopamine receptors are inhibited, resulting in a decrease in the amount of factors released by the hypothalamus entering the anterior pituitary gland. Therefore, the secretion of gonadotropins and corticotropin hormones by the anterior pituitary gland decreases, leading to amenorrhea and delayed ovulation.
What are the symptoms of irregular menstruation?
1、menopause posterior vaginal bleeding
Refers to bleeding after 6 months of cessation of menstruation, often caused by malignant tumors, inflammation, etc. This is one of the symptoms of irregular menstruation.
2. Early menstruation
Early menstruation means that the menstrual cycle is shortened, shorter than 21 days, and occurs for more than 2 consecutive cycles. The follicular phase is short, only 7 to 8 days, or the luteal phase is shorter than 10 days, or the body temperature rises by less than 0.5°C.
3. Extended menstrual period
The menstrual cycle is normal, and the amount of menstruation is normal, but the menstrual period is prolonged, lasting more than 7 days, or even lasting for 2 weeks. People with inflammation usually have lower abdominal pain, which is aggravated during menstruation, and usually have a large amount of leucorrhea, which is yellow or yellow-white in color, thick in texture, and smelly. Those with incomplete luteal atrophy are accompanied by heavy menstruation, and those with prolonged endometrial repair still have a small amount of persistent vaginal bleeding after the normal menstrual period.
4. Delayed menstruation
Menstruation occurs more than 7 days after a missed period, or even occurs only once every 40 to 50 days, and occurs for more than two consecutive menstrual cycles. For those who are ovulating, the basal body temperature is biphasic, but the follicular phase is long and the high temperature phase is low. ; Anovulatory patients have monophasic basal body temperature.
5. Irregular uterine bleeding
include Menorrhagia Or last for too long, which is common in uterine fibroids, endometrial polyps, endometrial hyperplasia, endometriosis, etc. Irregular bleeding can be caused by various reasons, and the bleeding is completely irregular. The above conditions can be caused by local causes, endocrine causes or systemic diseases.
6. Functional uterine bleeding
It refers to abnormal uterine bleeding caused by imbalance of the endocrine regulatory system without obvious organic lesions in the internal and external genitalia. It is the most common type of menstrual disorder and is common in adolescence and menopause. Divided into two categories: ovulatory and anovulatory, about 85% of cases are anovulatory.
7. Amenorrhea
It means that menstruation has never occurred or the menstrual cycle has stopped for more than 3 cycles after it has been established. The former is primary amenorrhea, and the latter is secondary amenorrhea, which is also a symptom of irregular menstruation.
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