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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 age 43 with no menstrual cycle since 12/27/2013. I had a recent pap smear.I am not on any birth control, tested negative for pregancy. I have no cramping or pain. I do have occasional hot flashes and insomnia. I exercise very heavily 5-6 days per week, low body fat, low weight, and have a low fat diet. I worked in a stressful environment. Unsure what is causing amenorrhea and wondering if I am going into menopause?Or is my body in perimenopause?Will the menstrual cycle return?
Fri, 29 Nov 2019
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General & Family Physician 's  Response
Hi.

I've gone through your query. I can understand your anxiety.

Usually menopause is attained between the age group of 45- 55 years. You presents with hotflashes, insomnia etc, shows your menopausal age sets in or due to low weight, diet, stressful circumstances, your cycle would have affected.

I advice you to,
-to do Transvaginal at the earliest for further evaluation
- PAP smear & breast examination.
- calcium & vitamin supplements
-Nutritious diet rich in proteins.
- YOGA & stress free life
- consult your gynaecologist for further assistance.

Hope I have answered your query. Let me know if I can assist you further. Get well soon.

Regards,
Dr. Yogapriya V, General and family physician.
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