At a certain age, women's menstrual cycle will disappear, commonly known as "amenorrhea". Menstruation is closely related to fertility. When the body no longer has amenorrhea, women will also believe that they will not be able to conceive again, so they can "not be guarded" during sexual activity. So, can I still get pregnant after amenorrhea? Let's learn about it together.
Can I still get pregnant after amenorrhea
Amenorrhea does not lead to pregnancy. Generally, if one does not ovulate after amenorrhea, they should not become pregnant.
However, in reality, the decline of ovarian ovulation function does not necessarily mean complete anovulation, especially during the early menopausal transition period when ovulation cycles are still common and gradually replaced by anovulation cycles. Due to the decline of ovarian function, the original ovulation pattern is disrupted, and the ovulation time is difficult to predict. It may even occur more than once a month. So, in the first few years of menopause, including within one year after menopause, pregnancy is still possible. If you don't want to receive "unexpected surprises", it is recommended that menopausal women still take good contraceptive measures.
Common complications after amenorrhea
1. Senile vaginitis. Normal women of childbearing age secrete estrogen from their ovaries, causing vaginal mucosal epithelial hyperplasia and thickening, with strong antibacterial ability. After menopause, women experience a decline in ovarian function, a decrease in estrogen levels, a decrease in glycogen content in epithelial cells, an increase in vaginal pH from acidic to alkaline, which is not conducive to the survival of lactobacilli in the vagina, leading to a weakened self-cleaning effect of the vagina. At the same time, due to the atrophy and thinning of the vaginal wall and insufficient blood supply, local resistance is reduced, making it susceptible to infection by other parasitic bacteria in the vagina and causing senile vaginitis. Often caused by general pathogenic bacteria such as Staphylococcus, Streptococcus, Escherichia coli, or anaerobic bacteria.
2. Osteoporosis. After menopause, estrogen deficiency can lead to increased bone resorption, impaired intestinal calcium absorption, reduced calcitonin secretion, decreased bone formation, and weakened inhibition of osteoclasts, resulting in increased bone loss. Starting from the menopausal transition period, the average annual bone loss rate is 1% to 3%, or even 5%, lasting for 5 to 10 years. Then the bone mass remains relatively stable with less loss for about 10 to 20 years. After the age of 70, there is an accelerated loss of bone mass with aging.
3. Osteoarthritis. The loss of sex hormone protection and abnormal levels of related cytokines in postmenopausal women play an important role in the pathogenesis of osteoarthritis. Postmenopausal hormone replacement therapy (HRT) has a certain relieving effect on the pain symptoms of knee osteoarthritis.
Whether a woman will still become pregnant after amenorrhea mainly depends on whether her body is still ovulating. Some women may also experience ovulation after amenorrhea, and there is a possibility of pregnancy. Therefore, it is recommended that during the period of amenorrhea, if women want to have sex, they also need to take contraceptive measures to avoid the risk of unintended pregnancy.
