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Как правило, это не самостоятельное заболевание, а лишь симптом какой-либо болезни [5](https://OpenClinics.ru/bolezni/amenoreya/)[9](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gynaecology/amenorrhea). \n\n**Основной симптом** — отсутствие менструации, но могут возникать и другие признаки, связанные с причиной состояния [2](https://www.mos-clinics.ru/diseases/amenoreya/). Например: болезненные ощущения внизу живота, акне и усиление роста волос по мужскому типу, увеличение или снижение массы тела, сухость влагалища, снижение либидо [2](https://www.mos-clinics.ru/diseases/amenoreya/).\n\n\n\n## Виды\nВыделяют два основных типа аменореи [2](https://www.mos-clinics.ru/diseases/amenoreya/): \n1. **Первичная** — отсутствие менструации у девочек старше 16 лет [2](https://www.mos-clinics.ru/diseases/amenoreya/). Может быть связана с генетическими аномалиями, нарушением работы эндокринной системы или анатомическими дефектами [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n2. **Вторичная** — прекращение менструаций на срок более трёх месяцев у женщин, ранее имевших регулярный цикл [2](https://www.mos-clinics.ru/diseases/amenoreya/).\n\n## Причины\nФакторы, вызывающие аменорею, можно разделить на физиологические, патологические и внешние [2](https://www.mos-clinics.ru/diseases/amenoreya/): \n* **Физиологические причины** — нормальное состояние в определённые периоды жизни женщины: детство, беременность, лактация, менопауза [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n* **Патологические причины** — гормональные нарушения (синдром поликистозных яичников, гиперпролактинемия), заболевания щитовидной железы (гипотиреоз или гипертиреоз), нарушения в работе гипофиза или гипоталамуса, анатомические аномалии [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n* **Внешние факторы** — хронический стресс, физическое истощение (резкое снижение массы тела), избыточные физические нагрузки, приём лекарств (гормональные контрацептивы, антидепрессанты и препараты для химиотерапии) [2](https://www.mos-clinics.ru/diseases/amenoreya/).\n\n## Диагностика\nДля постановки диагноза требуется комплексный подход [2](https://www.mos-clinics.ru/diseases/amenoreya/): \n* **Сбор анамнеза** — возраст наступления первых месячных, характеристика менструального цикла, образ жизни, уровень стресса, физическая активность [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n* **Гинекологическое обследование** — оценка состояния половых органов, исключение анатомических дефектов [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n* **Лабораторные анализы** — уровень половых гормонов (эстрогенов, прогестерона, ФСГ, ЛГ), гормоны щитовидной железы и пролактин [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n* **Инструментальные методы** — УЗИ органов малого таза, МРТ или КТ головного мозга (для оценки состояния гипофиза) [2](https://www.mos-clinics.ru/diseases/amenoreya/).\n\n## Лечение\nЛечение направлено на устранение причины и восстановление менструального цикла [2](https://www.mos-clinics.ru/diseases/amenoreya/). Некоторые методы: \n* **Гормональная терапия** — заместительная терапия эстрогенами и прогестероном, препараты для стимуляции овуляции [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n* **Лечение основного заболевания** — терапия эндокринных нарушений, хирургическое устранение анатомических дефектов [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n* **Коррекция образа жизни** — сбалансированное питание, умеренные физические нагрузки, психологическая поддержка [2](https://www.mos-clinics.ru/diseases/amenoreya/). \n\nВ большинстве случаев своевременное лечение позволяет восстановить нормальный менструальный цикл [2](https://www.mos-clinics.ru/diseases/amenoreya/).","linksData":[{"sourceId":1,"url":"https://www.fgu-obp.ru/diseases/amenoreya/","shownUrl":"https://www.fgu-obp.ru/diseases/amenoreya/","title":"Аменорея: причины, симптомы, диагностика и лечение в Москве - консультация гинеколога | ФГБУ «ОБП»","shortUrl":"fgu-obp.ru","isTranslated":false,"description":"","greenUrl":"fgu-obp.ru"},{"sourceId":2,"url":"https://www.mos-clinics.ru/diseases/amenoreya/","shownUrl":"https://www.mos-clinics.ru/diseases/amenoreya/","title":"Аменорея: симптомы, диагностика, профилактика и лечение","shortUrl":"mos-clinics.ru","isTranslated":false,"description":"","greenUrl":"mos-clinics.ru"},{"sourceId":3,"url":"https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/narusheniya-tsikla/otsutstvie-menstruatsiy/","shownUrl":"https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/narusheniya-tsikla/otsutstvie-menstruatsiy/","title":"Отсутствие месячных: причины, симптомы и лечение первичной и вторичной аменореи у женщин","shortUrl":"oren.medguard.ru","isTranslated":false,"description":"","greenUrl":"oren.medguard.ru"},{"sourceId":4,"url":"https://stolichki.ru/clubs/health/about_diseases/amenoreya-kogda-v-organizme-proishodit-sboy","shownUrl":"https://stolichki.ru/clubs/health/about_diseases/amenoreya-kogda-v-organizme-proishodit-sboy","title":"Аменорея: когда в женском организме происходит сбой","shortUrl":"stolichki.ru","isTranslated":false,"description":"","greenUrl":"stolichki.ru"},{"sourceId":5,"url":"https://OpenClinics.ru/bolezni/amenoreya/","shownUrl":"https://OpenClinics.ru/bolezni/amenoreya/","title":"Аменорея у женщин - что это: симптомы, причины и лечение - чем опасно долгое отсутствие месячных","shortUrl":"OpenClinics.ru","isTranslated":false,"description":"","greenUrl":"OpenClinics.ru"},{"sourceId":6,"url":"https://www.smclinic-spb.ru/zabolevaniya/amenoreya","shownUrl":"https://www.smclinic-spb.ru/zabolevaniya/amenoreya","title":"Аменорея - виды, симптомы, причины появления, диагностика и методы лечения","shortUrl":"smclinic-spb.ru","isTranslated":false,"description":"","greenUrl":"smclinic-spb.ru"},{"sourceId":7,"url":"https://ru.wikipedia.org/wiki/%D0%90%D0%BC%D0%B5%D0%BD%D0%BE%D1%80%D0%B5%D1%8F","shownUrl":"https://ru.wikipedia.org/wiki/%D0%90%D0%BC%D0%B5%D0%BD%D0%BE%D1%80%D0%B5%D1%8F","title":"Аменорея — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":8,"url":"https://www.invitro.ru/library/simptomy/18377/","shownUrl":"https://www.invitro.ru/library/simptomy/18377/","title":"Аменорея","shortUrl":"invitro.ru","isTranslated":false,"description":"","greenUrl":"invitro.ru"},{"sourceId":9,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gynaecology/amenorrhea","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gynaecology/amenorrhea","title":"Аменорея - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":10,"url":"https://fomin-clinic.ru/zabolevaniya/amenoreya/","shownUrl":"https://fomin-clinic.ru/zabolevaniya/amenoreya/","title":"Аменорея: что это такое? 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