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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
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
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 on cause: There are many causes of amenorrhea, and thus treatment depends on cause. If due to pcos, then weight loss, exercise, lifestyle change and medications can help. If due to athlete's triad (underweight), then increasing body fat percentage may help. If due to other hormonal (thyroid, prolactin, androgen, etc), or anatomic causes (pituitary, ovaries, uterus, etc), then need to address specific issue. ...Read more
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