

Dott.ssa Serena Anzilotti
La Tua Specialista Femminile

Amenorrhea

she almost always hears the same things:
"It happens."
"It's just stress."
"Unfortunately, that's just how your body is. There's nothing you can do about it."
"You have premature menopause."
"Your AMH is too low."
"Just take the pill and the problem is solved."
Or, even worse...
"You'll just have to learn to live with it."
Every week I meet women who come to me after years, or even decades,without a menstrual cycle.
Many have stopped believing that their bodies can ever function normally again.
Many are frightened.
Some feel broken.
Others believe their bodies have abandoned them.
Nothing could be further from the truth.
The female body possesses an extraordinary biological intelligence.
It does not stop menstruating out of spite.
It does not suddenly decide to stop ovulating.
It does not choose to take away such an essential part of your physiology.
When your menstrual cycle disappears...
your body believes that something else has become more important than reproduction.
Because, from a biological perspective,
survival will always come before fertility.
And this is exactly where the question that guides all of my work begins:
Yes, you read that correctly…
Over the years, I have also supported women who, despite being over twenty years old, had never experienced a spontaneous menstrual period.
They were women who had already been through complex journeys, asked questions, searched for answers and had often lost trust in their bodies.
For me, they were not simply “cases with no possibility of change.”
They were bodies telling a story that still needed to be understood.
Like Simona.
She was twenty-eight years old and had never had her first menstrual period.
Over the years, she had undergone consultations, tests, therapies and numerous attempts, without being able to experience that function spontaneously.
When she came to me, we began a completely different journey.
We did not start from the absence of menstruation.
We started from the person.
From her story.
From her physiology.
From her habits.
From the way she lived her everyday life.
Together, we observed different aspects of her health and built a personalised pathway.
Two months later, Simona experienced her first spontaneous menstrual period.
What happened during her journey belongs to her story.
It is one of the experiences that has taught me, once again, how important it is not to stop at the symptom, but to learn to listen to the person as a whole.
This is one of the deepest differences in my approach.
I do not start from the idea that I need to “make the period come back.”
I start from the person.
From her physiology.
From her story.
From her habits.
And from all those aspects of health that we can observe and support together.
As I like to say:
The absence of menstruation is important information, but for me it is not the only information to observe.
The menstrual cycle exists within a broader physiology, which includes:
🌙 the hormonal system
🌙 the nervous system
🌙 metabolism
🌙 sleep
🌙 nutrition
🌙 movement
🌙 bowel function
🌙 perceived stress levels
🌙 everyday habits
🌙 the woman’s history
For this reason, when a woman comes to me with amenorrhea, I look at the woman who is experiencing it.
It may sound like an unusual statement, but it perfectly represents my approach.
I do not work to “make the period come back.”
I work on the person’s health, her physiology and the aspects of her everyday life that we can observe and support together.
When an organism begins to feel supported again… its physiology may also gradually begin to express itself again.
Every woman has a different story.
⚠️ For some, amenorrhea appears after periods of significant stress.
⚠️ For others, it may occur in connection with significant changes in weight or nutrition.
⚠️ For others still, it may appear during emotionally difficult periods.
⚠️ For others, during or after intense physical activity.
⚠️ It may appear during periods of major life changes.
⚠️ It may be associated with conditions such as PCOS, endometriosis, premature menopause or other situations that require appropriate clinical assessment.
For this reason, amenorrhea deserves to be understood and considered within its broader context.
And when a woman comes to me, my question is:
Every journey with me begins with listening.
I am a Midwife and have been working in women’s health for over twenty years.
My work is rooted in my knowledge of female physiology, the experience I have gained over the years and my observation of the woman as a whole.
I focus on aspects of health that fall within my professional scope, observing the person, her history, her habits, her menstrual cycle history, the way she experiences pain, her nutrition, sleep, movement, bowel function, daily energy, perceived stress, her relationship with her body, her lifestyle and the environment in which she lives.
I work with the person as a whole.
My role is to observe, listen, connect, understand and accompany.
Before the consultation, I will ask you for photographs of your tongue, face and abdomen, as well as other information about your history and habits.
Not to give a name to what you have, but to gather as much information as possible about the person in front of me.
The Tongue Protocol is one of the tools I use within my observational method.
Tongue reading is not a diagnostic tool and does not replace medical assessments, tests or clinical investigations when necessary.
I want to help you understand:
🌿 what has changed in your life and health
🌿 which aspects of your physiology deserve attention
🌿 which signals your body is showing you
🌿 which habits can be changed
🌿 which aspects of your everyday life can be supported
🌿 how to learn to listen to your body
🌿 how to develop greater awareness of your health
And it is precisely that story that I want to help you understand.
I want you to get to know:
🌿 your body
🌿 your physiology
🌿 your habits
🌿 your body’s signals
🌿 the aspects of your life on which you can take concrete action
🌿 how to care for yourself
Because the return of menstruation is important, but understanding the woman experiencing it is equally important.
The journey does not end with the first consultation.
We continue to observe the body.
We continue to compare the tongue photographs.
We gather new signals.
We observe what changes.
And, when necessary, we modify the Protocol.
Because the body is not static.
The body evolves, and the journey must evolve with it.
My goal is to accompany you towards a deeper understanding of your body, so that you are not simply a spectator of what is happening to you, but can become a conscious protagonist of your own health journey.
The women you will see on this page did not simply have “amenorrhea.”
🌙 They had a story.
🌙 They had questions.
🌙 They had lost trust in their bodies.
I invite you to listen to their words, not because their journey will be identical to yours,
but because they may remind you of something very important.
Perhaps...
it simply needs to be listened to.
Amenorrhea is not the starting point.
It is the point from which to begin asking different questions.
If you feel that this way of looking at the body resonates with you, I will be happy to accompany you.
Together we will build a completely personalised journey, born from your story, your physiology and the aspects of your health that we can explore and support in practical ways.
If you would like to understand more deeply the philosophy that guides my work, I recommend reading my book Tongue Protocol.
Inside, I share my story, the principles behind the method, professional cases and experiences, and the 15 fundamental steps that accompany women towards greater awareness of their bodies.
You do not need to read it before your First Consultation.
However, it may help you better understand the way I observe the body and the person
Serena Anzilotti
All about Female Health