Understanding Amenorrhea: Insights from Caperton Fertility Institute
Dr. Lee Caperton • July 18, 2024
As a physician, I often encounter patients concerned about absent menstrual cycles, a condition known as amenorrhea. Understanding the causes and implications of amenorrhea is crucial for addressing fertility and overall health.

Common Causes   
  
 
 
 
 
 
 
 
 
 
 
  
 
 
 
Pregnancy: The most natural reason for missed periods.
 
 PCOS: Polycystic Ovary Syndrome affects hormone levels, leading to irregular or absent periods.
 
 Menopause: Marks the end of menstrual cycles, typically occurring in women around age 50.
 
 Lifestyle Factors: High stress, intense physical activity, and significant weight changes can disrupt menstrual cycles.
 
 Medical Conditions: Thyroid disorders, pituitary tumors, and other hormonal imbalances can cause amenorrhea.
 
 Impact on Fertility
 
 The absence of menstrual cycles often indicates anovulation, meaning no egg is released for fertilization, which can lead to infertility. Diagnosing and treating the underlying cause is essential for restoring fertility.
 
 Guidance for Patients
 
 Seek Medical Advice: If you experience irregular or absent periods, consult with a healthcare provider for a thorough evaluation.
 
 Lifestyle Modifications: Maintaining a balanced diet, managing stress, and moderating exercise can help regulate menstrual cycles.
 
 Medical Treatments: Depending on the diagnosis, treatments may include hormone therapy, medications for underlying conditions, or lifestyle interventions.
 
 Addressing amenorrhea is vital for reproductive health and overall well-being. Early intervention and appropriate treatment can help restore normal menstrual cycles and improve fertility.
 
 For more information or to schedule a consultation, please contact your healthcare provider.
 
 
Uterine fibroids are a common diagnosis among women of reproductive age. While many fibroids are harmless and cause no symptoms, others can interfere with fertility and pregnancy. At                                              Caperton Fertility Institute                                  , we help patients understand how fibroids may affect reproductive health and provide personalized treatment options to optimize fertility outcomes.                                                      What Are Uterine Fibroids?                                                                   Fibroids, also known as                                              leiomyomas                                               , are                                              benign (non-cancerous) growths                                               that develop in or on the uterus. They can vary greatly in size, number, and location. Depending on where they form, fibroids are classified into several types:                                                                               Submucosal Fibroids:                                                   Grow into the uterine cavity                                                                        Intramural Fibroids:                                                   Develop within the uterine wall                                                                        Subserosal Fibroids:                                                   Form on the outer surface of the uterus                                                                        Pedunculated Fibroids:                                                   Attached by a stalk extending from the uterus                                                                               How Fibroids Can Affect Fertility                                                      Not all fibroids impact fertility. However, certain types and locations are more likely to interfere with conception, implantation, or pregnancy progression.                                                                   Submucosal Fibroids:                                                   These are most likely to affect fertility because they distort the uterine cavity, which can prevent implantation or increase the risk of miscarriage.                                                           Intramural Fibroids:                                                   When large, these fibroids can change the shape of the uterus and affect blood flow, potentially reducing the chances of successful embryo implantation.                                                           Tubal Blockage:                                                   Fibroids located near the fallopian tubes can obstruct sperm or egg movement, preventing fertilization.                                                           Cervical Fibroids:                                                   Although rare, fibroids near the cervix can hinder sperm entry into the uterus.                                                                  Common Symptoms of Fibroids                                                      Fibroid symptoms vary widely — some people experience significant discomfort, while others have no symptoms at all. Common signs include:                                                                   Heavy or prolonged menstrual bleeding                                                           Pelvic pain or pressure                                                           Pain during intercourse                                                           Frequent urination or constipation                                                           Recurrent pregnancy loss or difficulty conceiving                                                                               For many patients, fibroids are first discovered during a                                              fertility evaluation                                               or                                              routine pelvic exam                                  .                                                      Diagnosis and Treatment Options                                                                   At                                              Caperton Fertility Institute                                               , we use advanced diagnostic imaging such as                                              ultrasound and MRI                                               to assess fibroid size, number, and location. Once diagnosed, treatment is tailored to your fertility goals and overall health.                                                                  Treatment options include:                                                                   Medical Management:                                                   Hormonal therapies to reduce symptoms and fibroid growth.                                                                        Surgical Options:                                                   Myomectomy to remove fibroids while preserving the uterus.                                                                        Minimally Invasive Procedures:                                                   Hysteroscopic or laparoscopic surgery for faster recovery and minimal scarring.                                                                               Our approach is designed to preserve fertility whenever possible while alleviating symptoms and improving uterine health.                                                      Hope After a Fibroid Diagnosis                                                      A fibroid diagnosis doesn’t mean you can’t conceive. Many patients with fibroids go on to achieve healthy pregnancies — especially with proper evaluation and treatment.                                                                   At                                              Caperton Fertility Institute                                               , our experienced fertility specialists in                                              Albuquerque, NM                                               , and                                              El Paso, TX                                  , provide compassionate, individualized care for every patient. We’ll guide you through diagnosis, treatment, and the next steps toward achieving your dream of parenthood.                                                                   ✨                                              If you suspect fibroids may be affecting your fertility, schedule a consultation today. Let’s take the next step together toward your fertility goals.
 

1. What is egg donation?                                                              Egg donation is the process by which a healthy woman donates her eggs to help another individual or couple conceive a child. These eggs may be fertilized through in vitro fertilization (IVF) and implanted into a recipient’s uterus or frozen for future use.                                                                          2. Who can become an egg donor?                                                                         At Caperton Fertility Institute, we welcome egg donors who meet the following criteria:                                                              Ages 19–30                                                              Physically and emotionally healthy                                                              Non-smoker, non-drug user                                                              Regular menstrual cycles                                                              No history of genetic or reproductive disorders                                                              Willing to undergo medical and psychological screening                                                              Able to commit to the time and responsibilities of the donation process                                                                          3. Why do people need egg donors?                                                                         Egg donors help individuals and couples who are unable to conceive using their own eggs due to:                                                              Advanced maternal age                                                              Genetic conditions                                                              Medical treatments like chemotherapy                                                              LGBTQ+ family-building                                                              Unexplained infertility                                                                          4. Is egg donation safe?                                                                         Yes. Egg donation is a common and generally safe medical process. It involves hormone injections to stimulate the ovaries and a minor outpatient procedure to retrieve the eggs. Risks are low but can include mild discomfort, bloating, or temporary side effects from medication. Serious complications are rare.                                                                          5. Will donating affect my fertility?                                                                         No, egg donation does not impact your long-term fertility. Women are born with thousands of eggs, and donation uses only a small number that would naturally be lost in a normal cycle.                                                                          6. Is egg donation painful?                                                                         Most donors report mild discomfort similar to menstrual cramps. The egg retrieval procedure is done under light sedation, so you won’t feel pain during the process. Recovery typically takes 1–2 days.                                                                          7. Will I be compensated?                                                                         Yes. Caperton Fertility Institute offers generous, ethically guided compensation for your time, effort, and commitment. The amount is discussed during your initial consultation and complies with all legal and medical guidelines.                                                                          8. How long is the egg donation process?                                                                         The process generally takes 6–10 weeks from initial screening to egg retrieval. It includes:                                                              Application and screening                                                              Medical and psychological evaluations                                                              Legal review                                                              Hormonal stimulation (approx. 10–14 days)                                                              Egg retrieval procedure                                                                          9. Can I still work or go to school during the donation process?                                                                         Yes. Most of the process can be scheduled around your routine. However, you'll need to attend several clinic appointments and take medications on a strict schedule. During the last week, you'll need to reduce physical activity.                                                                          10. Will my identity be kept confidential?                                                                         Absolutely. Donor confidentiality is strictly maintained. You can choose to remain anonymous, open, or semi-open, depending on your preferences and the recipient’s needs.                                                                          11. How do I get started?                                                                         To begin the egg donor application process:                                                                          Visit our Portal                                                                                                                    Fill out a questionnaire                                                                         Our donor coordinator will contact you for next steps                                                                                                 12. Can I donate more than once?                                                                         Yes, eligible donors can donate up to six times, as recommended by the American Society for Reproductive Medicine (ASRM). Each cycle is spaced out for your health and safety.
 

