Delayed menstruation accompanied by scanty menstruation, severe dysmenorrhea, or even absence of menstruation is often an important clinical manifestation of uterine hypoplasia.
The size of the uterus is not easily known as it grows inside the body, and individuals do not have any special sensations about it. The size of the uterus is not related to body height or weight, which makes it even more difficult to draw attention from patients and their parents. Therefore, individuals with uterine hypoplasia often fail to seek medical attention in a timely manner.
For some women suspected of having uterine hypoplasia, it is of utmost clinical importance to understand whether the uterus is developing normally or not as early as possible. By understanding the size of the uterus, we can also roughly assess the normalcy of other endocrine systems, such as the pituitary gland, hypothalamus, and ovaries, as well as whether there are any ovulation disorders and basic conditions for fertility. Because the development of the uterus is influenced by multiple factors, under normal circumstances, when females reach maturity, the uterus naturally develops normally and acquires the ability to reproduce. However, if there are "malfunctions" in the pituitary gland, hypothalamus, ovaries, and other organs, the development of the uterus will be delayed, and other secondary sexual characteristics will inevitably be affected and may not be evident in a timely manner, and even directly lead to infertility.
Uterine hypoplasia cannot be treated at any age. During the developmental period, targeted medications can be effective, but outside of the developmental period, medications have little effect on uterine growth, making it almost impossible to promote uterine development. This raises the issue of timely detection and early treatment.
When females reach the age of sexual development, if menstruation is delayed or scanty, breasts do not show obvious swelling, pubic hair is sparse, or even if menstruation does occur, the flow is particularly light, it is important to be alert and consider getting an ultrasound to find out the cause. If the development of the uterus does not match the individual's age, the cause should be identified and appropriate measures should be taken in a timely manner to avoid missing the opportunity and causing lifelong regret of infertility.
