Friday, January 15, 2021

The Absence Of Menstruation Or Amenorrhea


The absence of menstrual cycle is also called amenorrhea. The two types of amenorrhea are: primary (when there was no menstrual cycle up to the age of 16) and secondary (when there are no menstrual cycles for 3-6 months, after there were regular cycles).

The amenorrhea should be viewed as a symptom, not as a disease. The first thing you think for sure is “I’m pregnant!”. Nevertheless, you need to know that there are multitudes of reasons that can cause the menstrual irregularities.

An expert’s advice is very important in this situation to investigate and discover the causes of these disorders.

Causes And Symptoms

Primary amenorrhea can be caused by:

  • Hormonal imbalances
  • Psychiatric disorders
  • Eating disorders
  • Obesity
  • Quick weight loss
  • Chronic disease
  • Turner syndrome (Turner syndrome – a genetic condition in girls, and it means the lack of an X chromosome in each cell of the body)
  • Congenital malformations (the absence of the vagina or uterus)
  • Imperforate hymen (the absence of openings that allow a menstrual bleeding)
  • Strenuous exercise

An intense exercise can delay the installation of the menstrual cycle. In addition, some drugs such as the antidepressants, tranquilizers, steroids and heroin can induce the amenorrhea.

Secondary amenorrhea

It is more frequent than primary amenorrhea because there are more causes for it:

  • Pregnancy
  • Stress
  • Breastfeeding
  • Contraceptives
  • Some medications (antidepressants, chemotherapy)
  • Excessive weight loss
  • Strenuous physical exercise (sports performance)
  • Premature menopause (before the age of 40)
  • Ovarian tumors
  • Hormonal disorders such as the polycystic ovary syndrome
  • Eating disorders (anorexia, bulimia)

Sometimes when you stop taking birth control pills it is possible to have menstruation delay for 1-2 months.

Amenorrhea Diagnosis

Identifying the cause of amenorrhea can be a difficult process at times, but first you must begin by conducting a pregnancy test (when the menstruation delayed by 1-3 weeks). The androgen excess, the estrogen deficiency or other endocrine problems should be considered in this particular situation.

In addition, the secretion of prolactin in the blood and the thyroid-stimulating hormone should also be checked.

Methods Of Treatment

The method of treatment is determined according to the cause amenorrhea. In most cases, the primary amenorrhea does not require treatment. The diagnosis is decided after a medical examination, according to the history of disease and the symptoms. The first step of the investigation is eliminating the hypothesis of pregnancy. Then a series of blood tests follow, accompanied by hormone levels and thyroid gland tests.

  • The hormonal imbalance can be fixed by the administration of progesterone
  • For the polycystic ovary syndrome, the experts often recommend taking birth control pills
  • It is indicated for the overweight people  lose body weight
  • A change in lifestyle (less physical effort and a balanced diet) can be helpful for the young athletes
  • The surgical intervention is rarely used, only in the case of genital tract abnormalities or the endocrine diseases

How Can It Be Prevented?

The primary amenorrhea caused by the genital diseases can not be prevented. Although many of the recorded amenorrhea cases can not be prevented, the experts recommend:

  • A balanced diet
  • Moderate physical activity
  • Avoiding stress
  • Avoiding tobacco and the stimulant substances
  • More rest


  1. Chang

    In any countries, there are many women worrying about gaining weight and menstrual incontinence. The most presumable reasons are improper life pattern; light eating may cause constipation; physical exercise like swimming, clothes that expose naval or cold beverages may cause hysteropathy(disorders in vagina). Other than these, the factors weaken the internal organs thereby causing the disorders in the circulatory system. It is eventually related to amenorrhea. Gaining weight is made because the waste material is not well evacuated from the body. Therefore, medical treatment should be centered on the improvement of circulatory system.
    For the sake of herbal medical treatment and constant weight, physical exercise is required; women of cold abdomen should avoid swimming, cold foods, unripe fruits, etc. Murwort moxibustion or massage with wet and hot towel on the lower abdomen are effective.

Gloria Brown
Women's health and wellness retreat leader providing vacations and trips for women to get in shape -- and stay that way! On you can find my articles about weight loss, health and women's issues. Please feel free to contact me on

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