Is it possible to get pregnant during amenorrhea?

Menstruation is an indicator that the ovulation period is over, so many women feel anxious if they do not menstruate.

Amenorrhea is a concern for many women. This is especially true for women of childbearing age, as it is associated with infertility. Therefore, many people wonder if it is possible to get pregnant during amenorrhea. Read on and let’s explore together.

As you already know, women of childbearing age go through ovulation every month. If you have sex during this period without using a condom, fertilization may occur. The end of ovulation appears as menstruation when the surface layer of the endometrium is shed.

What is Amenorrhea?

Amenorrhea can be simply defined as the absence of menstruation. It’s also one of the main reasons for consulting a gynecologist, and it’s a source of concern for many women.

In most cases, amenorrhea is an indicator that ovulation did not occur that month, so it is easy to associate it with infertility. But it’s not always like that.

The absence of the menstrual cycle can also occur in certain physiological conditions such as infancy, pregnancy, lactation, perimenopausal, and menopause.

Can I get pregnant even if I have amenorrhea?

The onset of menstruation in adolescence is irregular.

Types and main causes of amenorrhea

Since most women experience menstruation throughout their lives, experts have classified amenorrhea into two types. It is based on age and has a variety of causes.

primary amenorrhea

It consists of the first absence of menstruation in a 16-year-old young female with normal development and secondary sex characteristics. However, if pubic hair does not appear by the age of 13, there is a possibility of amenorrhea.

In young adolescents, most causes of primary amenorrhea result from congenital anomalies or genetic alterations. The most common causes in this regard are :

  • hymen blockage
  • A malformation of the uterus or vagina that prevents blood from draining
  • Pituitary or hypothalamic tumor
  • no Müller tube
  • turner syndrome

secondary amenorrhea

Secondary amenorrhea is the absence of menstruation for at least 3 months in a woman who has previously had regular menstrual cycles. Most women who experience secondary amenorrhea are between the ages of 25 and 35.

The main cause of this symptom is pregnancy. This is because the body of a pregnant woman does not ovulate throughout pregnancy. However, it can also be caused by breastfeeding, menopause, or the use of birth control pills. There are also certain antecedents such as obesity, stress, anxiety, and strenuous exercise.

If the cause of amenorrhea is not a physiological factor, it may be due to an acquired disease. Thus, the following pathologies may be the cause of secondary amenorrhea.

Is it possible to get pregnant during amenorrhea?

Now that you know what amenorrhea is, its types, and its causes, let’s try to answer your questions. Of course, the answer may vary depending on the type and cause of the disease.

You can get pregnant if you have primary amenorrhea due to a congenital anomaly or hymenal obstruction. In this case, ovulation occurs normally, but blood is not excreted. Also, the solution is usually surgery.

On the other hand, if primary amenorrhea is caused by a gonadal disorder such as Turner syndrome, natural pregnancy is impossible. However, it is possible to become pregnant through artificial insemination through egg donation.

If secondary amenorrhea is caused by medications or other antecedents, all you need to do is eliminate the cause that regulates the menstrual cycle for pregnancy. On the other hand, it is much more difficult to conceive if polycystic ovarian syndrome or thyroid pathology is the cause.

It’s not impossible though. Women with these problems usually require constant medical attention to treat the underlying pathology.

Finally, if amenorrhea is the result of a prolactin-secreting tumor, several factors must be considered. In this case, it is possible to get pregnant only if it is a microadenoma or a small tumor. Also, women should start treatment to control it.

Can I get pregnant even if I have amenorrhea?

Amenorrhea requires expert consultation to address the cause.

amenorrhea and pregnancy

The presence of amenorrhea does not always indicate infertility. Pregnancy can be a little more difficult, but you can do this by removing the cause of amenorrhea and adjusting your menstrual cycle. Most women just need to start proper treatment and have regular health checkups.

In addition, in cases of amenorrhea that cannot conceive naturally, such as Turner syndrome, there is always a way to do artificial insemination. Current medical advances and surgical options can improve the prognosis of previously insurmountable pathologies.

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