Doctor insights on:
How Much Should I Worry About Amenorrhea
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
I m 19 and I have secondary amenorrhea from anorexia (recovering and getting help) but I haven t gained weight yet or changed my eating much but all of a sudden I got a period after not having one since June this year. Can I really just suddenly get my pe
For a 5'6 and 3/4 inches tall 22yr old girl at 123lbs, possible to have amenorrhea? Lost 3-7lbs in 3 wks from stress/not eating as much. Period late
Of course : Amenorrhea is caused classically by anorexia and stressful situations, and your scenario dies allow for this cause-effect relationship. However, there are functional and hormonal failures that are not necessarily due to nutritional failure or stress. You need to have a thorough evaluation and hormonal bloodwork done by a gyne endocrinologist, if diet modification and stress reduction don't help ...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 moreSee 1 more doctor answer
No periods: If you had periods, and now you don't, you could be pregnant, or you could have a hormone abnormality from the pituitary, or hypothyroidism. Women who exercise excessively sometimes stop having periods, or women with anorexia nervosa who get too thin. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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