Zawhna: Hmeichhia kum 30 mi ka ni a, mipat hmeichhiatna a inhnamhnawih ngai lo ka ni. December thla atang khan ka thi neih a tawp daih a, keimah hi ka khua a sik reng bawk a, ka chau ngawih ngawih bawk a, eng tia in enkawl chi nge ni ang? CHHANNA : I insawi dan atangin pasal i la nei lova, i la virgin bawk anih hmel a. December hma hian thi i nei pangngai turah a ngaih theih bawk a, chuti a nih chuan “Secondary Amenorrhea” i nei (thi neih pangngai hnua hul leh, rai vang ni lovin) tihna a ni thei. Amaherawhchu standard guideline an hmanah hian period vawi 3-6 miss hnuah an ti deuh kher a. Vawi nga chu i miss tawh angah a ngaih theih. Secondary amenorrhea hi a chhan hrang hrang awm thei zingah Hormones lam fel lo hi a common deuh ber a, chi insiam fel loh vanga awm te, thyroid hormone chak lutuk (overactive) vang te, nau neih invenna ei vangtein a awm thei a ni. A dang lehah chuan chi bawm (ovaries) ah tui pai bawk (cysts) insiam vak, Polycystic Ovary Syndrome vangin a awm fo bawk. Lifestyle factors an tih mai, thau/rih lutuk vang te (overweight), intihcher tumna lama rihna tlahniam chak lutuk vang te, rilru hah, hnathawk hah lutuk vang te, zin nasat vang te thlengin a awm thei bawk. Chau ngawih ngawih i rawn sawi tel hi eng nge a chhan tih hriat a tha hle. Kan tarlan tak rilru hah, taksa hah, zan mut that theih loh te vang a nih chuan chu lam chu enkawl a ngai ngei ang. A dang leh ah chuan infection engemaw tak vangin a awm thei bawk a. I khua a sik tel avang hian infection engemaw tak i nei ani thei. Chung zingah chuan TB te hi a common ang reng viau. Sex hman vang ni lovin chhul leh a bul bawr hi infection a awm ve fo thei a, chu chu Reproductive Tract Infection (RTI) an ti a, hygiene lam ngaihthah vang te pawhin a awm thei bawk a ni. In enkawl tur chuan infection i nei nge nei lo (zun test leh culture) hriat a tul thei a. Tin, i chhul leh chi bawm lamah fel lo a awm nge awm lo hriat nan Ultrasonography i tih ngei pawh a ngai ang. Thisen lam test ah chuan Thyroid function test pawh i tih tel a tha a. Nitin khawsak phung lamah thlak danglam ngai, zan mut tam te, thau lutuk tan ei leh in lam fimkhur leh exercise lak regular te a pawimawh hle bawk ang.