Infertility in women can be caused by the lack of ovulation, which can be indicated by the lack of menstruation, also known as amenorrhea. Amenorrhea can be primary, which means that the woman never gets her menstrual period; secondary amenorrhea can be caused by various hormonal problems and other environmental factors.
Why Primary Amenorrhea Causes Infertility
Primary amenorrhea is the condition that indicates the patient has never started to menstruate, even if at a mature age. Doctors diagnose a patient with primary amenorrhea if she is over 14 and has no sexual characteristics and no menstruation, or when she is 16 and has normal sexual characteristics, but no menstruation.
Typically, this condition is due to a problem in the development or the lack of uterus or ovaries, but may also be caused by the fact that the eggs never reach maturity. For this reason, a woman suffering from primary amenorrhea cannot conceive.
Treatment for Primary Amenorrhea
The causes of primary amenorrhea should be established and the fertility doctor can determine if there is any type of treatment that may be administered. A congenital defect such as the absence of the uterus can be difficult to treat. In some cases, a hormonal therapy may stimulate growth or the maturation of the eggs and can be successful, resulting in the commencement of menstrual cycles in the patient. However, if the menstruation doesn't start, the patient cannot have biological children. There are various options available to have children, and these can be studied to establish the best solution.