Amenorrhea: Causes, Types, Diagnosis & Treatment

When working with Amenorrhea, the absence of menstrual periods in women of reproductive age. Also known as period loss, it can signal underlying health issues and affect quality of life. The Menstrual Cycle, a monthly hormonal rhythm that prepares the uterus for possible pregnancy is the baseline against which any deviation is measured. When that rhythm stops, doctors first ask whether the cause is a missing developmental trigger (primary) or a later disruption (secondary). Understanding this split sets the stage for targeted testing and care.

Primary amenorrhea usually points to a hormonal imbalance that prevents the ovaries from releasing an egg. A common driver is Hormonal Imbalance, an irregularity in estrogen, progesterone, or other reproductive hormones caused by intense exercise, low body fat, or stress. Secondary cases often arise from conditions that interfere after puberty—polycystic ovary syndrome (PCOS), thyroid disorders, or uterine scarring. PCOS, for instance, is a metabolic and reproductive disorder where excess androgens keep the ovaries from ovulating, directly influencing amenorrhea. Likewise, an underactive thyroid can blunt the hormonal cascade, while severe emotional stress can suppress the hypothalamic‑pituitary axis, another pathway that leads to missed periods.

Diagnosing amenorrhea starts with a detailed history and a basic physical exam, then moves to lab tests that measure hormone levels such as FSH, LH, estradiol, and thyroid panels. Imaging like pelvic ultrasound helps spot ovarian cysts or uterine anomalies. Treatment hinges on the root cause: lifestyle tweaks for weight or stress, thyroid medication for endocrine issues, or hormonal therapies like combined oral contraceptives to kick‑start the menstrual cycle. In many cases, birth control pills serve a dual purpose—regulating periods while providing a steady dose of estrogen and progesterone, which can correct the underlying hormonal imbalance.

Below you’ll find a curated collection of articles that dive deeper into related topics you might encounter while managing amenorrhea—whether you need to understand pain‑relief options, bone‑health links, or broader reproductive health advice. These resources will give you practical steps, safety tips, and up‑to‑date guidance to help you move from uncertainty to confident management of your health.

Amenorrhea and Contraceptive Use: Key Facts, Risks & Management

25/09

Learn how different contraceptives affect menstrual cycles, why amenorrhea can happen, and what steps to take for health and peace of mind.