Doctor insights on:
How Much Should I Worry About Amenorrhea
How long 'til I should worry about post-pill amenorrhea? Stopped pill 4 months ago and nothing since. I'm 34. Aunt went into menopause at 38. Thanks!
See GYN MD now: If it has been 4 months since pill cessation, a GYN MD can offer a "jumpstart" Rx to see if your period will restart. If not, assessment for peri menopausal issues can be done. ...Read more
Pregnancy first!!: Must rule out pregnancy first! If no menses prior (called primary amenorrhea) abve age 15yrs, then anatomical causes also must be considered (lack of uterus, blood flow blockage, etc). If menses took place prior (called secondary amenorrhea) then hormonal causes such as elevated prolactin, testosterone or low thyroid should be considered. Significant weight loss also possible. Talk with your pcp. ...Read more
Absense of menses: Term referrs to not getting periods for greater then 3 months in a row. If you had normal periods, then develop amenorrhea, check for pregnancy first (most common cause). Other causes could be due to excessive exercise or excessive dieting. Some women with pcos develop amenorrhea. If you never had a period, may have a problem with anatomy or pituitary. ...Read more
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 more
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 more
In part, obesity: Certainly amenorrhea among adolescents is an issue that is way underestimated simply because most teenage girls of menarchal age do not admit or seem to be bothered by lack of menses. In my practice, the majority of adolescents have amenorrhea of secondary type (meaning that they have had a period or two in the past 6 months) that is due to obesity +/- polycystic ovaries syndrome (pcos). ...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 more
Discuss with doctor: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more
What is cause?: To decide on a remedy, you must first know the cause. If the cause is stress or weight loss, you may be able to change your behavior to start menstruating again, but if it is thyroid disease, high prolactin, pregnancy, premature menopause or pco, it would be best to see a doctor to guide you through the diagnosis and treatment. ...Read more
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