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Hormone challenge: The first step would be to perform a full history and physical exam at the gyn md's office, and rule out pregnancy. If there is no pregnancy, attempt to determine the cause by an initial Progesterone challenge with a pill for 10 days to "induce withdrawal bleeding". If that fails, other studies may be done including a pelvic ultrasound and ancillary blood testing.. ...Read moreSee 1 more doctor answer
Or absent periods may occur form a wide variety of reasons. It may be because you are not ovulating or because you are menopausal or because you have underlying medical problems that interfere with normal menstrual cycle (eg, thyroid). In some cases it may be anatomic like a congenital or developmental problem that ...Read more
Hormonal, anatomic: Secondary amenorrhea refers to absence of menstruation, after previous onset at normal age. Anatomic exam and scans (ultrasound or ct) can assess for obstructive processes. Hormonal testing can assess for thyroid dysfunction, pituitary dysfunction, excessive prolactin, and excessive androgens (either from ovary or adrenal) among others. These hormone problems interfere with regular menstruation. ...Read moreSee 1 more doctor answer
See a GYN for tests: If your brain isn't signalling for an egg release from your ovary, you won't have a signal for your periods either; that's usually the cause of amenorrhea. Often it's a hormonal imbalance--Thyroid, Prolactin, LH, FSH, Hcg should be checked. Your doctor can also induce a period as well w/ OCPs. If you've NEVER had a period, you should get an US to make sure you have normal uterus/vagina/ovaries. ...Read moreSee 1 more doctor answer
Depends: There are many causes of secondary amenorrhea. Some of the causes can be serious such as a pituitary disorder so you should have a good medical evaluation before trying a home remedy. If that is negative, you are not pregnant and not postmenopausal, stress is the most common cause of secondary amenorrhea. Thus things like yoga, tai chi, meditation, counseling, etc. Would be helpful. ...Read moreSee 1 more doctor answer
That depends...: On what is causing the Secondary Amenorrhea, for example, if it was caused by severe anorexia, then that may be serious and need intense treatment, If it is an underlying Thyroid condition, that has just not had any Symptoms yet (other than no period)-than that should be diagnosed and treated, etc. ...Read moreSee 1 more doctor answer
See a doctor: To do some basic workup and make sure something else is not affected. It s an easy work-up and u ll get the results fast. ...Read more
Multiple: Hi. The term "secondary amenorrhea" generally excludes the trivial causes of pregnancy and menopause. Ergo, assuming it's unexplained, there are genetic causes for premature ovarian failure (e.g., Fragile X Syndrome), gonadal toxicity (e.g., chemotherapy), and hormonal (usually androgens of adrenal or ovarian source). At age 47 (your stated age), I would have to say menopause is most likely. ...Read moreSee 1 more doctor answer
Pituitary disease: Primary implies an ovarian disorder. Secondary implies a pituitary disorder. Elevated prolactin, low lh, fsh, high tsh, starvation (anorexia), bulemia and excessive exercise all effect the pituitary axis. Need to have the above hormones checked if there is no other reason (anorexia, excessive exercise...). ...Read more
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