ꯅꯍꯥꯛꯀꯤ ꯊꯥꯒꯤ ꯃꯇꯝ ꯑꯗꯨ ꯂꯦꯄꯈ꯭ꯔꯕꯔꯥ? ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ "ꯑꯣꯍ, ꯑꯩꯒꯤ ꯊꯥ ꯑꯁꯤꯗꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯄꯤꯔꯤꯌꯗ ꯇꯧꯈꯤꯗ꯭ꯔꯤ" ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤꯕꯔꯥ? ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤ ꯅꯠꯔꯒꯥ ꯏꯆꯦ ꯑꯃꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯌꯧꯔꯛꯠꯔꯤ ꯑꯃꯁꯨꯡ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯤꯕꯔꯥ? ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯊꯦꯡꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯩꯇꯕꯥ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯔꯝ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤ `(ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ)` ꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ `(ꯑꯃꯦꯅꯣꯔꯤꯌꯥ)`ꯒꯤ ꯃꯔꯃꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯃꯔꯨꯞ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯀꯄꯒꯨꯝ꯫

ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯇꯁꯦꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯊꯥ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯨꯄꯤꯃꯆꯥ ꯑꯃꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯛꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯤ ꯊꯧꯑꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯀꯌꯥ ꯑꯃꯥ ꯌꯥꯑꯣꯏ . ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯁꯤ ꯀꯝꯞꯂꯦꯛꯁ ꯄ꯭ꯂꯥꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ `(Hypothalamus)` ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯥ ꯂꯩ꯫ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ `(Pituitary gland)` ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ `(ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ)` ꯑꯁꯤꯅꯥ `(Ovaries)`ꯗꯥ ꯉꯥ (`(Ovulation)` ꯅꯠꯠꯔꯒꯥ ovulation) ꯊꯥꯗꯣꯛꯅꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯄꯤꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯣꯚꯔꯋꯦꯠꯁꯤꯡ ꯑꯁꯤ ꯉꯥ ꯌꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯐꯃꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯨꯄꯤꯃꯆꯥ ꯑꯃꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯅꯤꯁꯨ ꯄꯨꯊꯣꯀꯏ: ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯖꯦꯁ꯭ꯇꯦꯔꯣꯟ꯫

ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯏꯅꯐ꯭ꯂꯨꯑꯦꯟꯖꯥꯒꯤ ꯃꯈꯥꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡ (ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯤꯌꯥꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ) ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯌꯧꯔꯛꯂꯕꯗꯤ ꯇꯨꯝꯕꯥ ꯌꯥꯅꯕꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯃꯦꯇꯔꯤꯑꯦꯜ ꯑꯃꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯊꯥ ꯑꯗꯨꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯑꯀꯪꯕꯥ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯂꯥꯏꯅꯤꯡ ꯑꯗꯨ ꯃꯊꯧ ꯇꯥꯗ꯭ꯔꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯊꯣꯔꯀꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯃꯦꯟꯁꯠꯔꯨꯁꯟ’ ꯅꯠꯔꯒꯥ ‘ꯄꯤꯔꯤꯌꯗ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ `(Hypothalamus)`, `(Ovaries)` ꯑꯃꯁꯨꯡ `(Uterus)` ꯀꯧꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

`(Amenorrhea)`ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫` ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

1. ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ - (ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ)

ꯃꯁꯤꯅꯥ ꯆꯍꯤ 15 ꯐꯥꯎꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯄꯤꯔꯤꯌꯗ ꯇꯧꯈꯤꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ, ꯅꯠꯠꯔꯒꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ) ꯍꯧꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯍꯤ ꯃꯉꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯤꯔꯤꯌꯗ ꯂꯩꯠꯔꯕꯗꯤ, ꯃꯁꯤꯁꯨ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫ ꯃꯁꯤ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ - (ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ)

ꯃꯁꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯔꯝꯕꯥ ꯅꯨꯄꯤ ꯑꯃꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯥ ꯑꯍꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯥ ꯇꯔꯨꯛꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯨꯄꯤ ꯑꯃꯒꯤ ꯃꯦꯟꯁꯠꯔꯣꯜ ꯁꯥꯏꯀꯜ ꯑꯗꯨ ꯃꯃꯥꯡꯗꯥ ꯑꯥꯏꯔꯦꯒꯨꯂꯔ ꯑꯣꯏꯔꯕꯗꯤ, ꯊꯥ 6ꯀꯤ ꯑꯣꯏꯅꯥ ꯃꯦꯟꯁꯠꯔꯣꯜ ꯊꯤꯡꯕꯁꯤꯁꯨ ``ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ'' ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯃꯤꯔꯣꯅꯕꯥ꯫
• ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ꯫
• ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯕꯥ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯃꯤꯔꯣꯜꯂꯤꯕꯤ, ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯅꯣꯄꯣꯖ ꯇꯧꯗꯕꯥ ꯅꯨꯄꯤ ꯃꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯈꯔꯗꯥ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯊꯦꯡꯅꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯄꯥꯅꯔꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯇꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, `(ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ)ꯒꯤ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯈꯪꯍꯧꯗꯅꯥ ꯑꯀꯅꯕꯥ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯐꯤꯚꯝ (`ꯍꯣꯠ ꯐ꯭ꯂꯦꯁ`)꯫
• ꯑꯉꯥꯡ ꯌꯥꯎꯗꯅꯥ ꯐꯥꯎꯕꯥ ꯁꯉ꯭ꯒꯣꯝ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯅꯤꯄꯂꯁꯤꯡ꯫
• ꯚꯦꯖꯤꯅꯦꯜ ꯁꯣꯀꯄꯥ (vaginal dryness)꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ .
• ꯃꯤꯠꯌꯦꯡ ꯍꯣꯡꯏ꯫
• ꯑꯍꯦꯅꯕꯥ ꯑꯦꯛꯅꯤ ꯂꯩꯕꯥ .
• ꯃꯥꯌ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯤ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯦꯄꯈꯤꯕꯒꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ (ꯀꯃꯟ ꯑꯣꯏꯕꯥ) ꯃꯔꯃꯁꯤꯡ:

• ꯃꯤꯔꯣꯅꯕꯥ: ꯃꯁꯤꯅꯥ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯑꯉꯥꯡ ꯑꯃꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯉꯥ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯔꯤꯌꯗ ꯂꯩꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯁꯤ ꯂꯦꯄꯈꯤ꯫
• ꯂꯦꯛꯇꯦꯁꯟ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ: ꯃꯃꯥ ꯀꯌꯥꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯤꯔꯤꯌꯗ ꯇꯧꯗꯦ꯫
• ꯃꯦꯅꯣꯄꯣꯖ (Menopouse): ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ 45-55ꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯚꯔꯋꯦꯠ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ: ꯃꯇꯝ ꯑꯗꯨꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯔ ꯂꯩꯔꯣꯏ꯫

ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ:

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 15 ꯐꯥꯎꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯄꯤꯔꯤꯌꯗ ꯇꯧꯈꯤꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ:

• ꯀ꯭ꯔꯣꯃꯣꯖꯣꯝ ꯅꯠꯠꯔꯒꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯃꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯇꯔꯅꯔ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯔꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯑꯣꯚꯔꯑꯣꯂꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯌꯥꯏ꯫
• ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯏꯎꯇꯦꯔꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯃꯥꯡꯈꯤꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯟꯗꯔꯗꯦꯚꯦꯂꯄꯃꯦꯟꯇꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫

ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ:

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯔꯝꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯥ ꯑꯍꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯥꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯃꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ:

• ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯃꯦꯊꯗ ꯈꯔꯗꯤ:ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯦꯄꯣ-ꯄ꯭ꯔꯣꯚꯦꯔꯥ® ꯏꯅꯖꯦꯀꯁꯟ, ꯏꯟꯠꯔꯥꯎꯇꯦꯔꯥꯏꯟ ꯗꯤꯚꯥꯏꯁ (IUDs) ꯈꯔꯗꯤ, ꯑꯃꯁꯨꯡ ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯜ ꯈꯔꯗꯤ꯫
• ꯀꯦꯟꯁꯔꯒꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯃꯃꯥꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯂꯩꯔꯕꯗꯤ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯤꯂꯥꯏꯁꯟ ꯑꯃꯁꯨꯡ ꯀ꯭ꯌꯨꯔꯦꯇꯦꯖ (D&C)ꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ꯫
• ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯠꯔꯦꯁ: ꯅꯍꯥꯛꯅꯥ A/L ꯄꯔꯤꯈꯥ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯑꯅꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯍꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯔ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫
• ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯥ : ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯊꯕꯛꯇꯥ ꯑꯀꯥꯌꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫
• ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯔꯨꯇꯤꯟ: ꯅꯨꯄꯤꯃꯆꯥ ꯈꯔꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ, ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯖꯤꯃꯗꯥ ꯋꯥꯔꯀꯑꯥꯎꯠ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯤ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ``ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ``ꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• (ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯣꯕꯦꯔꯤ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ - POI): ꯃꯁꯤ ꯆꯍꯤ 40 ꯁꯨꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯑꯣꯚꯔꯋꯦꯠ (ovarian insufficiency) ꯃꯊꯧ ꯇꯧꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ꯫
• ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯤꯛ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ (hypothalamic amenorrhea): ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯀꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯦꯄꯈꯤꯕꯥ꯫
• ꯄꯤꯇꯨꯏꯇꯔꯤ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯟ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯅꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯄꯨꯊꯣꯀꯄꯥ꯫
• ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯑꯣꯕꯦꯔꯤ ꯁꯤꯟꯗꯣꯝ (PCOS), ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯗꯤꯁꯑꯣꯔꯗꯔ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁꯁꯤꯡ .
• ꯑꯣꯚꯔꯋꯦꯠ (`Ovarian tumors`)ꯒꯤ ꯅꯟ-ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ꯫
• ꯀꯥ ꯍꯦꯟꯅ ꯅꯣꯏꯕ.
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD)꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯉꯟꯅꯥ ꯃꯦꯅꯣꯄꯣꯖ ꯂꯩꯔꯕꯗꯤ꯫
• ꯑꯣꯚꯔꯋꯦꯠ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯃꯣꯖꯣꯃꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
• ꯑꯣꯕꯦꯁꯤꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
• ꯆꯥꯕꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
• ꯑꯍꯦꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫
• ꯍꯀꯁꯦꯜ ꯐꯗꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯇꯨꯡ ꯏꯟꯕꯥ꯫
• ꯁꯥꯊꯤꯕꯥ ꯃꯦꯟꯇꯦꯜ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ꯫
• ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯗꯨ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯈꯥꯒꯤꯁꯤꯡꯁꯤ ꯍꯦꯟꯅꯥ ꯊꯦꯡꯅꯩ:

• ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ (ꯁꯔꯨ ꯆꯤꯀꯄꯥ) ꯅꯠꯠꯔꯒꯥ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ: ꯃꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
• ꯑꯉꯥꯡ ꯄꯣꯀꯄꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯉꯃꯗꯕꯥ꯫
• ꯄꯦꯂꯚꯤꯛ ꯄꯦꯏꯟ: ꯃꯁꯤ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

(ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯪꯟ-ꯊꯪꯅꯅꯥ ꯊꯥ ꯇꯔꯨꯛꯀꯤ ꯃꯃꯥꯡꯊꯪꯕꯥ ꯊꯥꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯒꯦ?

ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• ꯃꯤꯔꯣꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯊꯥꯌꯔꯣꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗ ꯗꯤꯖꯤꯖ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ (POI) ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯆꯍꯤ 40ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯔꯕꯗꯤ꯫
• (MRI) ꯁ꯭ꯀꯦꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯚꯔꯋꯦꯠ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫

ꯑꯩꯒꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯔꯥ?

ꯍꯣꯌ, ꯁꯣꯏꯗꯅꯥ꯫ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯔꯣꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯅꯣꯄꯣꯖꯒꯨꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯑꯍꯣꯡꯕꯁꯤꯡꯒꯤ ꯗꯥꯏꯑꯦꯔꯤ ꯑꯃꯥ ꯊꯝꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯕꯗꯥ ꯑꯆꯧꯕꯥ ꯃꯇꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯅꯣꯇꯕꯨꯛ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯣꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯞ ꯑꯃꯗꯥ ꯏꯕꯤꯌꯨ:

• ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ?
• ꯅꯍꯥꯛꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯑꯣꯏꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯄꯤꯔꯤꯌꯗ ꯑꯣꯏꯈꯤꯕꯒꯦ?
• ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯤꯕꯒꯦ?
• ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯄꯨꯔꯛꯂꯕ꯭ꯔꯥ?
• ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ?

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯔ ꯑꯗꯨ ꯃꯦꯅꯣꯄꯣꯖ, ꯂꯦꯛꯇꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯑꯇꯣꯞꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯅꯥ ꯆꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯁ꯭ꯠꯔꯦꯁ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯀꯤ ꯇꯦꯛꯅꯤꯀꯁꯤꯡ .
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯒꯤ ꯊꯥꯛ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯧꯔꯕꯗꯤ, ꯃꯗꯨ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯗꯨ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯍꯅꯒꯗꯕꯅꯤ)꯫
• ꯍꯣꯔꯃꯣꯅꯒꯤ ꯂꯥꯏꯌꯦꯡ: ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ꯫
• ꯁꯔꯖꯔꯤ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯇꯧꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯔꯗꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯊꯦꯔꯥꯄꯤ: ꯍꯣꯠ ꯐ꯭ꯂꯦꯁ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯗ꯭ꯔꯥꯏꯅꯦꯁ ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯀꯦꯂꯁꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯟ D ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯁ꯭ꯠꯔꯦꯡꯊ ꯇ꯭ꯔꯦꯅꯤꯡ: ꯋꯦꯠ ꯂꯤꯐꯇꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯅꯠꯇꯦ, ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ (e.g., vaginal septum or imperforate hymen) ꯊꯤꯡꯕꯥ ꯉꯃꯍꯜꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯂꯩꯔꯕꯗꯤ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯒꯅꯤ? ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯔꯛꯀꯗ꯭ꯔꯥ?

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯥꯀꯄꯥ ꯍꯧꯒꯗꯕꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯗꯨ ꯍꯜꯂꯀꯄꯗꯥ ꯊꯥ ꯈꯔꯈꯛꯇꯃꯛ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯇꯧꯔꯀꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯔꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯔꯦꯒꯨꯂꯥꯔ ꯑꯣꯏꯔꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯔ ꯑꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯄꯥꯝꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯐꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯁꯤꯡꯅꯥ ``ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ``ꯒꯤ ꯃꯔꯝ ꯈꯔꯗꯤ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

• ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯦꯟꯁꯠꯔꯣꯜ ꯁꯥꯏꯀꯜ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ (ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯔꯤꯌꯗ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯒꯅꯤ)꯫
• ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯁꯨꯡ ꯄꯦꯞ ꯇꯦꯁ꯭ꯠ ꯌꯥꯑꯣꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯒꯥꯏꯅꯣꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯊꯝꯃꯨ꯫
• ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯇꯨꯝꯕꯥ .

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥ ꯑꯍꯨꯝ ꯊꯪꯟ-ꯊꯪꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯔ ꯑꯗꯨ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯔꯤꯌꯗ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ:

• ꯕꯦꯂꯦꯟꯁ, ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯚꯤꯖꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (ꯃꯁꯤꯁꯤꯡ ꯑꯁꯤ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫
• ꯑꯉꯥꯡ ꯄꯣꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯎꯅꯁꯥꯗꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯊꯥꯗꯣꯀꯄꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯄꯥꯝꯕꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 15ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯄꯤꯔꯤꯌꯗ ꯂꯩꯠꯔꯕꯗꯤ꯫

ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯍꯪꯒꯗꯒꯦ?

ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯗꯥ ꯀꯥꯎꯒꯅꯨ:

• ꯑꯩꯒꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯒꯤ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯂꯩꯕꯒꯦ? ꯑꯃꯃꯃꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
• ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
• ꯑꯩꯅꯥ `(Amenorrhea)` ꯂꯩꯔꯕꯁꯨ ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?
• ꯑꯩꯒꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯩꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯕꯔꯊ ꯀꯟꯠꯔꯣꯂꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯤꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯂꯁꯤꯡ ꯊꯤꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯝ ꯃꯥꯡꯈꯤꯕꯥ (ꯄꯣꯁ꯭ꯠ-ꯄꯤꯜ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ) ꯑꯃꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯣꯚꯨꯂꯦꯠ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯤꯔꯤꯌꯗ ꯇꯧꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ "ꯈꯨꯗꯣꯡꯆꯥꯕꯥ" ꯍꯦꯅꯒꯠꯂꯛꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯍꯧꯔꯀꯄꯗꯥ ꯊꯥ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯥ ꯆꯪꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯥ ꯃꯔꯤꯗꯒꯤ 6 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯔ ꯂꯩꯠꯔꯕꯗꯤ , ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯤꯡꯕꯒꯤ ꯃꯈꯜ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ?

ꯅꯠꯇꯦ, ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯤꯡꯕꯒꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯇꯕꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯛꯅꯕꯒꯤ ꯑꯥꯁꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯍꯥꯛꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯍꯥꯌꯖꯅꯤꯡꯕꯗꯤ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 15ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯁꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯛꯠꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯄꯤꯖꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯧꯖꯤꯛ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗꯀꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯟꯁꯠꯔꯣꯜ ꯁꯥꯏꯀꯜ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯄꯨꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯅꯤ꯫ ꯃꯁꯤ ꯈꯛꯇꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

` ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ, ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯦꯄꯈꯤꯕꯥ, ꯊꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ, ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯥꯀꯄꯥ, ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ, ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ, ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ꯫