Absence of Periods (Amenorrhea)

Amenorrhea, the absence of periods, can be a source of worry and uncertainty. It’s important to remember that it’s not always a cause for immediate concern, but it’s crucial to understand the underlying reasons. Amenorrhea can manifest in different ways:

• Primary Amenorrhea: When a person has never had their first menstrual period by the age of 15 or within 5 years of the onset of breast development.
• Secondary Amenorrhea: When menstruation ceases for three or more consecutive cycles in someone who previously had regular periods.

We understand that experiencing amenorrhea can raise many questions and concerns. Our goal is to provide you with compassionate and comprehensive care to help you understand the potential causes and explore the most appropriate treatment options for your individual situation.

Symptoms of Absence of Periods (Amenorrhea)

The primary symptom is the absence of periods. However, depending on the underlying cause, other symptoms may include:

• Breast tenderness or enlargement
• Milk discharge from the breasts
• Hair loss
• Excess hair growth on the face or body
• Headaches
• Vision problems
• Fatigue
• Mood changes

Causes of Absence of Periods (Amenorrhea)

Amenorrhea can have various underlying causes, including:

• Hormonal imbalances: Issues with the hypothalamus, pituitary gland, or ovaries can disrupt the hormonal signals that regulate the menstrual cycle.
• Pregnancy: This is the most common cause of secondary amenorrhea.
• Breastfeeding: During breastfeeding, hormonal changes can suppress ovulation and menstruation.
• Eating disorders: Conditions like anorexia nervosa or bulimia nervosa can significantly disrupt the menstrual cycle.
• Excessive exercise: In some cases, intense physical activity can interfere with hormonal balance and ovulation.
• Stress: High levels of stress can disrupt the hypothalamic-pituitary-ovarian axis, leading to amenorrhea.
• Medical conditions: Certain medical conditions, such as polycystic ovary syndrome (PCOS), thyroid disorders, and premature ovarian insufficiency, can also cause amenorrhea.
• Medications: Some medications, including certain birth control methods and chemotherapy drugs, can affect menstrual cycles.
• Structural abnormalities: In some cases, anatomical abnormalities within the reproductive system, such as an imperforate hymen or a blocked fallopian tube, can prevent menstruation.

Treatment of Absence of Periods (Amenorrhea)

Treatment for amenorrhea focuses on addressing the underlying cause. This may involve:

• Hormone therapy: To regulate hormone levels and restore menstrual cycles.
• Medications: To treat underlying conditions 
• Lifestyle changes: Addressing issues like eating disorders, excessive exercise, or stress.
• Surgery: In some cases, surgery may be necessary to correct anatomical abnormalities.

About Dr. Basu’s Approach

Dr. Basu offers comprehensive evaluations and personalised treatment plans to address your unique needs and improve your quality of life.

If you have concerns around your reproductive health, a gynaecologist can provide you with expert guidance.

Schedule a consultation to discuss your concerns with Dr. Basu now.