Amenorrhea Treatment in Delhi || Amenorrhea is missing one or more periods. If you are older than 15 and haven’t gotten your first period (primary amenorrhea) or you’ve missed a period for a few months (secondary amenorrhea), talk to your healthcare provider. Amenorrhea is often the sign of a treatable condition. With treatment, your regular menstrual cycle will usually resume.

What is amenorrhea?

Amenorrhea is when you don’t get your monthly period. It can be temporary or permanent. Amenorrhea can result from a change in function or a problem with some part of the female reproductive system.

There are times when you’re not supposed to get your period, such as before puberty, during pregnancy and after menopause. If amenorrhea lasts for more than three months, it should be investigated.

How does the menstrual cycle work?

A complex system of hormones controls the menstrual cycle. Every month, hormones prepare the body for pregnancy. Ovulation then occurs. If there is no pregnancy, the cycle ends with the uterus shedding its lining. That shedding is the menstrual period.

The hormones responsible for this cycle originate in different parts of the body. A dysfunction in any of these parts can prevent a person from getting a period:

The hypothalamus controls the pituitary gland.
The pituitary gland, called “the master gland,” produces the hormones that instruct the ovaries to ovulate.
Ovaries, produce the egg for ovulation and the hormones estrogen and progesterone.
Uterus, responds to the hormones and prepares the lining. This lining sheds as the menstrual period if there’s no pregnancy.

What are the types of amenorrhea?

There are two classifications of amenorrhea:

Primary amenorrhea is when you haven’t gotten a first period by age 15 or within five years of the first signs of puberty. It can happen due to changes in organs, glands and hormones related to menstruation.

Secondary amenorrhea is when you’ve been getting regular periods, but you stop getting your period for at least three months, or you stop your menses for six months when they were previously irregular. Causes can include pregnancy, stress and illness.

Who is at risk for amenorrhea?

Risk factors for amenorrhea include:

  • Family history of amenorrhea or early menopause.
  • Genetic or chromosomal condition that affects your menstrual cycle.
  • Obesity or being underweight.
  • Eating disorder.
  • Over-exercising.
  • Poor diet.
  • Stress.
  • Chronic illness.

What causes amenorrhea?

The different types of amenorrhea have different causes.

Common causes of primary amenorrhea include:

  • Chromosomal or genetic problem with the ovaries (the female sex organs that hold the eggs).
  • Hormonal issues stemming from problems with the hypothalamus or the pituitary gland.
  • Structural problem with the reproductive organs, such as missing parts of the reproductive system.

Common causes of secondary amenorrhea include:

  • Pregnancy (which is the most common cause of secondary amenorrhea).
  • Breastfeeding.
  • Menopause.
  • Some birth control methods, such as Depo Provera, intrauterine devices (IUDs) and certain birth control pills.
  • Chemotherapy and radiation therapy for cancer.
  • Previous uterine surgery with subsequent scarring (for example, if you had a dilation and curettage, often called D&C).

Other causes of secondary amenorrhea can include:

  • Stress.
  • Poor nutrition.
  • Weight changes — extreme weight loss or obesity.
  • Exercising associated with low weight.
  • Ongoing illness or chronic illness..

You may also have conditions that can cause secondary amenorrhea:

  • Primary ovarian insufficiency, when you experience menopause before age 40.
  • Hypothalamus disorders, such as functional hypothalamic amenorrhea (FHA) — which is also called hypothalamic amenorrhea (HA). FHA is a condition where amenorrhea is associated with stress or weight loss, but isn’t clearly caused by an organic issue with a woman’s body.
  • Pituitary disorders, such as a benign pituitary tumor or excessive production of prolactin.
  • Other hormonal problems, such as polycystic ovary syndrome, adrenal disorders or hypothyroidism.
  • Ovarian tumors.
  • Surgery to remove uterus or ovaries.

What are the symptoms of amenorrhea?
The main symptom is the lack of periods. Other symptoms depend on the cause. You may experience:

  • Hot flashes.
  • Nipples leaking milk.
  • Vaginal dryness.
  • Headaches.
  • Vision changes.
  • Acne.
  • Excess hair growth on your face and body.

How is amenorrhea diagnosed?

If you miss a period, contact your healthcare provider. Your provider will ask you about your symptoms and medical history. If amenorrhea occurred because of pregnancy, you can start prenatal care. If it’s happening because of menopause, there is help if symptoms are uncomfortable. Missed periods leading to menopause usually begin in your 40s. Your provider will perform a physical exam and a pelvic exam.

Do I need to keep track of when my periods happened?

Diagnosing amenorrhea can be challenging. If the cause of amenorrhea isn’t obvious, such as pregnancy, your provider may ask you to keep a record of changes in your menstrual cycle. This history of your periods can help your provider figure out a diagnosis.

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