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What causes amenorrhea?

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Posted on Fri, 11 Dec 2015
Question: Hi i am suffering from ammenoroia tha last 3 years due to anorexia. Since december i got the body fat and the kilos and i stopped exercise. I used to run 15 km per day. My blood test results in XXXXXXX prior the kilos were all very low. Still i got no period and i started worrying a lot. I am 34 and i thought tha eith the kilos everything would be back to normal. A month agoni repeated the hormonal blood test and the fsh ans lsh have been increases in normal levels but my estrogens were low 117. Ok better than used to be back in XXXXXXX My doctor prescribed me cyclacur but i am still very stressed that even with cyclacur still wont come. In general i am very stressed with that. I have bad thoughts that for my period not to come i might have cancer in my ovaries or i might have early menopause. What do you think based on my blood test results? Cab hormonal test show a kind of cancer. Also i have been checked with a gynecologist 2 years ago but it was ok i mean apart from the fact that i was very slim i had nothing else
doctor
Answered by Dr. S Patra (28 minutes later)
Brief Answer:
Upload all recent test reports.

Detailed Answer:
Hello,

Thanks for writing to us.

1) What is your current body weight and height?

2) Do you take any kind of psychiatric medication?

3) Do you have any other physical symptoms or health problem?

Kindly, upload all recent blood test reports and ultrasound scan report to give proper suggestion regarding your clinical condition.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. S Patra (40 minutes later)
Currently i am 1.67 55 kilos
I dont take any medicines
What do you mean any other issues? As far as i am converned no i try to attach the blood tests but there is a problem in uploading
doctor
Answered by Dr. S Patra (8 minutes later)
Brief Answer:
Send to YYYY@YYYY

Detailed Answer:
Hello,

Thanks for additional information.

You can send all reports to YYYY@YYYY if there is problem in uploading reports.
Mention the queryID: 185551 and they will upload the files to the right place.

Waiting for your response.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. S Patra (15 minutes later)
Attachment 1
doctor
Answered by Dr. S Patra (3 hours later)
Brief Answer:
Do one USG and some other tests.

Detailed Answer:
Hello,

Thanks for attached reports.

I have reviewed your all reports and they are almost normal except estrogen level.

I suggest you to stop running for few months, take protein rich diet with more green vegetables and IRON supplements.

Do one ultrasound scan to check status of reproductive organ, blood test for AMH and repeat the LH/ FSH test.

If above test reports become normal, then combined hormonal pill can be given for 3-6 months to resume your period. Kindly, consult with your doctor regarding this.

All the best and good luck.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. S Patra (1 hour later)
Thank youndoctor. Do you have any idea why estrogens are still low? I am afraid of having cancer etc would that be obvious by such an test? I assume i will never be able to have kids am i right?
doctor
Answered by Dr. S Patra (8 hours later)
Brief Answer:
Cancer is unlike. Do some tests.

Detailed Answer:
Hello,

At first, you need to undergo one pelvic ultrasound scan to know the status of your reproductive organs.

Cancer is unlike as most of the blood test reports are normal. You should undergo blood test for AMH, CA-125 and LH/ FSH. These will help to confirm the diagnosis.

If your period resumes after 3-6 months treatment, you can able to conceive in the future. Kindly, revert back to me following all test reports.

All the best and good luck.

Regards, Dr S Patra
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. S Patra (3 hours later)
Thank i hope so and i hope i havent done such damage. Do you know why i even took the kilos and stopped the exercise i used to do still my estrogen are low? Why is that? Ultrasound i did like a year and a half ago and before that i used to go every threemonths. The result was thin endomitrium mainly because of my fat levels.
doctor
Answered by Dr. S Patra (33 minutes later)
Brief Answer:
Take low carbohydrates and fats.

Detailed Answer:
Hello,

Thanks for your query.

Low estrogen could be due to the following reasons:

1) Decreased functioning of the ovaries - peri-menopausal age group
2) Cysts in the ovaries or PCOD
3) Decreased functioning of the pituitary gland;
4) Eating disorders and dieting resulting in low body fat;
5) Excessive exercise resulting in low body fat

All above reasons should be eliminated through proper treatment and hormone therapy to resume your period and fertility.

Take low carbohydrates and fats. Increase the fiber in your diet. There are certain foods that are high in natural estrogen, phytoestrogen. Foods include soybeans, tofu, edamame and beans, peas, fruits, vegetables and XXXXXXX

Be sure to include foods high in vitamin C, the B vitamins, and carotene. These include oranges and other citrus fruits, artichokes, asparagus, corn, peppers, XXXXXXX spinach, carrots, beets, bananas, avocadoes, collard greens and chard, and many seeds and nuts.

Fresh foods are better than processed foods and eating a well-balanced diet will help your body produce its own estrogen.

Hope, I have answered your query. Good luck.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. S Patra (1 hour later)
Thanks for all of these. If problem is due to bad nutrition as i used to have and low body fat then why do you recomend low cards diet and low fat. Maybe i misunderstooud. Thanks
doctor
Answered by Dr. S Patra (3 hours later)
Brief Answer:
Take overall balanced diet with some added supplements.

Detailed Answer:
Hello,

Thanks for follow up query.

You need to take HIGH protein diet with LOWER carbohydrate and Fat. Increase fiber in diet with added supplements of vitamin, iron and estrogen.

Excessive fat is usually NOT recommended as it may lead to weight gain and hormonal disturbance, lead to late period.

Basically, you need overall balanced diet to resume your period as early as possible.

Hope, I have cleared your confusion. All the best.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. S Patra (17 hours later)
Good morning again. You relaxed me a bit. If you considered that my main fear that increases anorexia and exercise was my fear around cancer. I mean its difficult to say but are there are chances that my period will never resume again? In such cases are there are alternative ways to get pregnant? I really really stressed cause i added 9 kilos since XXXXXXX as the nutritionist told me i havent loose them and my period is still ansent
doctor
Answered by Dr. S Patra (2 hours later)
Brief Answer:
Details are given below.

Detailed Answer:
Hello,

Thanks for follow up query.

1) Your nutrition deficiency should be corrected properly. You can contact with your nutritionist for diet chart. Stop your exercise.

2) Hormone therapy for 3-6 months with combined hormone pill helps to resume your period if above test reports (mentioned earlier) become normal.

3) Yes, there are some alternative ways to get pregnant through Assisted Reproductive Technique (ART). Method includes IVF (In Vitro Fertilization) or surrogate pregnancy etc.

Hope, I have answered your query. Wish your good health and take care.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. S Patra (2 days later)
Hi my endocrinologist prescribed me with cyclacur so i started taking these. Now i am scared that even with these my period will not come. Is that such a chance? And if yes what this will mean?
Thank you
doctor
Answered by Dr. S Patra (5 hours later)
Brief Answer:
Cyclacur should be taken for 3-6 months.

Detailed Answer:
Hello,

Thanks for follow up query.

Cyclacur contains Ethinyl estradiol and Norgestrel (combined hormonal pill) as active components. It should be taken for 3-6 cycles to get effective result.

Your period will definitely resume if above mentioned test reports become normal. Don't be worried much.

You should undergo above tests and revert back to me. Take suggestive food stuffs.

Hope, it helps for your information. Good luck.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Answered by
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Dr. S Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4048 Questions

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What causes amenorrhea?

Brief Answer: Upload all recent test reports. Detailed Answer: Hello, Thanks for writing to us. 1) What is your current body weight and height? 2) Do you take any kind of psychiatric medication? 3) Do you have any other physical symptoms or health problem? Kindly, upload all recent blood test reports and ultrasound scan report to give proper suggestion regarding your clinical condition. Regards, Dr S Patra