ABSENCE OF MENSTRUATION FOR 7 MONTHS

A patient, born in 1984, came to the clinic complaining of no menstruation for 7 months, weakness, dizziness, and decreased work capacity. Diagnosis - amenorrhea.

In her history: For 5 months, she adhered to a strict diet excluding protein (eating only tomatoes and apples) to lose weight, losing 12 kg during this period. A month after starting the diet, her next menstruation did not occur. She consulted a gynecologist where no pathology in the genital organs was found. Measurement of basal temperature over 3 months showed a monophasic cycle. She received progesterone treatment to stimulate menstruation, which was ineffective.

Upon admission, she had pallor of the skin, and unsatisfactory subcutaneous fat development (weighing 50 kg at 170 cm tall).
The therapy was aimed at normalizing the hypothalamic-pituitary-ovarian axis, stimulating organs responsible for adaptive mechanisms. During treatment with narrow-spectrum devices, she measured basal temperature. On the 6th day of treatment, an increase in basal temperature to 37°C was noted, indicating normalization of the ovarian cycle. Menstruation began on the 12th day of therapy.

The patient was observed for 3 months during which time her menstruations were regular, moderate, painless, with a cycle of 28-30 days.