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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Amenorrhea?

i am 29 and i did t get my periods for 2 months and i took duphaston 15 days back for 5 days and even after that i did not get my periods, my gyn asked to take another dose of duphaston for 3 more days. checked for the pregnancy test and it was negative. this is first time for me its happening like this, i am much worried as we don t have kids yet. much worried about this kindly advise.
Mon, 23 Oct 2017
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General & Family Physician 's  Response
Hello. Many types of medical problems can cause hormonal imbalance, including:

1. Polycystic ovary syndrome (PCOS). PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.

2. Thyroid malfunction. An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.

3. Pituitary tumor. A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.

Sometimes lifestyle factors contribute to amenorrhea, for instance:

1. Low body weight. Excessively low body weight — about 10 percent under normal weight — interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.

2. Excessive exercise. Women who participate in activities that require rigorous training, such as ballet, may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.

3. Stress. Mental stress can temporarily alter the functioning of your hypothalamus — an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Consult a gynecologist. tests like- Hormone tests, thyroid tests, USG, CT, MRI may be required.

Regard- Dr Sanjay Kini
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What Causes Amenorrhea?

Hello. Many types of medical problems can cause hormonal imbalance, including: 1. Polycystic ovary syndrome (PCOS). PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle. 2. Thyroid malfunction. An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea. 3. Pituitary tumor. A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation. Sometimes lifestyle factors contribute to amenorrhea, for instance: 1. Low body weight. Excessively low body weight — about 10 percent under normal weight — interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes. 2. Excessive exercise. Women who participate in activities that require rigorous training, such as ballet, may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure. 3. Stress. Mental stress can temporarily alter the functioning of your hypothalamus — an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases. Consult a gynecologist. tests like- Hormone tests, thyroid tests, USG, CT, MRI may be required. Regard- Dr Sanjay Kini