Ok, now, coming back to amenorrhea.

好，现在说回到。

Which would explain why amenorrhea is most common among ballet dancers, gymnasts, and long distance runners.

这也能解释为什麽对芭蕾舞者 体操选手及长跑运动员来说很常见。

A rarer cause of primary amenorrhea is androgen insensitivity syndrome.

导致发性的一个罕见因是雄敏感综合征。

Finally, endocrine disorders can also cause primary amenorrhea.

最后，内分泌疾病也会导致发性。

In females, primary sex characteristic dysfunction includes amenorrhea or absence of menstruation, or oligomenorrhea or irregular menstrual cycle.

在女性中，第一性征的功能障碍包括，即无月，或月减少，即月周期规则。

When this happens, TRH also stimulates prolactin release - so hyperprolactinemia and amenorrhea occur.

与此同时，TRH也刺泌乳的分泌，所以也会出现高泌乳血症和。

The most common cause of secondary amenorrhea is pregnancy.

最可能的继发性因是怀孕。

Interestingly, hypothyroidism - a condition where there's low levels of thyroid hormones - can also cause amenorrhea.

有趣的是，甲状腺功能减退症，一种由于甲状腺合成及分泌减少导致的疾病，也可能会导致。

Issues with the pituitary gland can also cause secondary amenorrhea.

垂体的问题也会导致继发性。

With functional hypothalamic amenorrhea due to anorexia, there's significant weight loss and decreased bone density which can cause fractures.

由于厌食导致的功能性下丘脑性患者往往减重过度且骨密度下降，易致骨折。

The most common cause of primary amenorrhea is Turner syndrome, where one X chromosome is either completely or partially absent.

最可能的发性因是Turner综合征：有一个X染色体完全或者部分缺失。

There are many causes of secondary amenorrhea, and when they occur before menarche, all of these can also cause primary amenorrhea.

有许多因会导致继发性，而当它们在初潮前发生时，都会导致发性。

The one symptom of both primary and secondary amenorrhea is, well, the absence of menstruation.

发性和继发性共有的一个症状是没有月。

Another condition that affects the hypothalamic-pituitary-ovarian axis and can be responsible for secondary amenorrhea is polycystic ovary syndrome.

另一种能影响下丘脑-垂体-卵巢轴并可能导致继发性的疾病是多囊卵巢综合症。

Primary amenorrhea is when a female hasn't had her first menstruation, called menarche, by age 16, despite normal growth and having started puberty.

发性指女性在16周岁前没有初次月（即初潮），尽管生长发育、进入青春期均无异常。

Sometimes though, menstruation either never starts which is called primary amenorrhea or suddenly stops in a person who's previously menstruating which is called secondary amenorrhea.

而有时，（青春期后）月从未出现，这被称为发性；或是先有月周期，但突然停止，这就被称为继发性。

Next, there's functional hypothalamic amenorrhea, which is when there is a decrease in GnRH secretion, leading to low levels of LH, FSH, and estrogen.

其次是功能性下丘脑性，即由于GnRH分泌下降导致LH、FSH和雌水平下降。

In practice, nomadic hunter-gatherers space their children about four years apart by means of lactational amenorrhea, sexual abstinence, infanticide, and abortion.

实际上，游牧狩猎采集者通过哺乳、禁欲、杀婴和堕胎等手段将孩子间隔大约四年。

The first step when evaluating primary or secondary amenorrhea is to rule out pregnancy with a pregnancy test.

评估发性或继发性的第一步是用孕检排除怀孕可能。

All right, as a quick recap… amenorrhea is the abnormal absence of menstruation in females of reproductive age.

好！快速回顾一下：指育龄期女性无月或月异常停止。