It is a medical fact and you can see the Internet for the detailed information.
Medications can cause amenorrhea
, primarily through hyperprolactinemia—although other mechanisms may be involved.Prolactin suppresses hypothalamic luteinizing hormone-releasing hormone (LHRH) production, leading to decreased follicle-stimulating hormone
(FSH) and luteinizing hormone (LH), thus reducing circulating estrogen.
All selective serotonin reuptake inhibitors like Citalopram
but except sertraline
are associated with hyperprolactinemia and can lead to amenorrhea in some patients.