Amenorrhea: Treatment, Symptoms, Causes and Types

What is amenorrhea?

Amenorrhea is a condition where you do not experience menstrual bleeding for some time, this can be defined as missing one or more menstrual cycles. Amenorrhea can affect your fertility and bone density. This does not mean that the individual is infertile; it is only an indication of a health problem.

What are the types of amenorrhea?

There are two types of amenorrhea:

Primary amenorrhea

Primary amenorrhea occurs if you have not had your period by the time you turn 16 or within 5 years of reaching puberty (developing breasts). Primary amenorrhea usually occurs due to genetic conditions or acquired abnormalities.

Secondary amenorrhea

In secondary school amenorrhea type you suddenly stop getting your period for more than three months after getting them regularly. Some common reasons for secondary education amenorrhea Involving:

  • breastfeeding
  • pregnancy
  • menopause
  • tension
  • chronic diseases

How common is amenorrhea?

It has been found that at least one in four women who are not pregnant, breastfeeding or experiencing menopause may develop this amenorrhea.

What are the symptoms of amenorrhea?

The lack of menstrual cycles is one of the most important symptoms of amenorrhea. Some of the others symptoms of amenorrhea can occur at different times depending on the cause of your problem amenorrhea. These symptoms include:

  • Hot flashes
  • Nipples leak milk
  • Headache
  • Vision changes
  • Acne
  • Vaginal dryness
  • Excessive hair growth on your face and body
  • Changes in vision

How do you get amenorrhea?

Different types of amenorrhea usually have different causes. Some are natural and not a cause for concern, while others may be signs of a medical condition.

Naturally causes amenorrhea Involving:

  • Breastfeeding
  • Pregnancy
  • Menopause
  • Undergoing surgery to remove the uterus or ovaries

Common causes of primary amenorrhea

A amenorrhea type occurs when a woman does not have a period between the ages of 15 and 26. The primary causes amenorrhea Are:

  • Genetic/chromosomal problems such as Turner syndrome that affect your reproductive system.
  • Hormonal problems that may indicate a problem with your brain or pituitary gland
  • Structural or developmental problems with the reproductive organs, such as an underdeveloped reproductive system, missing parts of your vagina or uterus

Common causes of secondary amenorrhea

Subordinate causes amenorrhea Involving:

  • Contraceptive methods, including IUDs or some birth control pills
  • Radiation or chemotherapy
  • Uterine surgery that may have caused scarring
  • Tension
  • Poor nutrition
  • Weight changes (extreme loss or gain)
  • Certain medications
  • Extreme workout routines

Certain medical conditions also cause secondary arthritis amenorrheainclusive:

  • Primary ovarian insufficiency causing the ovaries to stop working before the age of 40
  • Pituitary disorders such as benign pituitary tumors or extra prolactin production
  • Hypothalamus amenorrhea that causes amenorrhea due to problems with the hypothalamus
  • Hormonal imbalances caused by conditions such as polycystic ovary syndrome, hypothyroidism, and adrenal gland disorders
  • Ovarian tumors
  • Persistent chronic diseases (e.g. inflammatory bowel disease or kidney disease)
  • Obesity

What are risk factors for amenorrhea?

The most common risk factors for amenorrhea Involving:

  • Chromosomal or genetic disorders that affect the ovaries or uterus
  • Family history of early menopause or amenorrhea
  • Obesity or underweight
  • Excessive exercise
  • Eating disorders
  • Tension
  • Chron’s disease

What are the complications of amenorrhea?

Amenorrhea, primary or secondary, is not in itself life-threatening. However, some amenorrhea causes can lead to long-term complications, such as:

  • Infertility or difficulty becoming pregnant
  • Osteoporosis or cardiovascular disease
  • Pain in the pelvic area

How is amenorrhea diagnosed?

If you have not had your period for three months or more or if you have not had your period by the age of 15, it is best to consult your doctor to determine the possible causes. They will take into account your physical symptoms and medical history, as well as your menstrual history, and consider the possibility of this amenorrhea during pregnancy. Your healthcare provider or gynecologist may also perform a physical and pelvic exam.

What are the tests for amenorrhea?

Your healthcare provider may suggest the following tests to determine the reason for your condition amenorrhea:

  • Pregnancy test
  • Blood tests to check hormone levels that may indicate adrenal or thyroid disorders
  • Genetic testing for people with primary ovarian insufficiency
  • MRI to check for problems with your pituitary gland
  • Ultrasounds that help identify structural problems with the ovaries or your uterus

How is amenorrhea treated?

Natural causes of amenorrhea such as menopause, pregnancy or breastfeeding are not necessary amenorrhea treatment. For other issues related to the treatment of amenorrhea will depend on the cause of the condition, such as:

  • Maintain a healthy weight with a healthy diet and exercise plan
  • Use stress management techniques such as meditation
  • Changing your training level
  • Use of hormonal medications and other treatments as suggested by your healthcare provider
  • In rare cases, surgery

You may also need treatment for the side effects of diabetes amenorrhea as:

  • Calcium and vitamin D supplements that help with bone strength
  • Strength training to improve muscles
  • Estrogen therapy for hot flashes or vaginal dryness

How long does amenorrhea last?

Amenorrhea is a very treatable condition and with proper treatment your periods may start to happen regularly or it may take a few months for your periods to return to normal, but in most cases they will normalize. However, it is important that you consult your healthcare provider as soon as you experience any discomfort symptoms of amenorrhea.

How can I prevent amenorrhea?

Maintaining a healthy lifestyle and overall health can help prevent most cases of secondary disease amenorrhea. Here are a few things you can do:

  • Follow a healthy diet and exercise plan
  • Keep track of your menstrual cycle so you know when you miss a period
  • Visit your gynecologist regularly
  • Get regular and sufficient sleep


If you are over 15 years old and have not yet had periods, or if you have had regular periods but they have suddenly stopped, it is advisable to consult a doctor to determine the cause. Amenorrhea is a common and treatable condition and can even be prevented by leading a healthy lifestyle. By having your health checked regularly and monitoring your hormones with blood tests, you can identify any problems before symptoms occur, increasing the chance of a quick and easy recovery.

Metropolis Labs is a renowned provider of diagnostic services and also offers home sample collection. Book your test with us today.