Amenorrhea refers to the absent or missing periods, that can be a cause of grave concern. There are two types of amenorrhea, primary and secondary.

In primary amenorrhea, girls do not get their periods over the age of 15, or within 5 years of showing the first signs of puberty. Primary amenorrhea can be due to changes in hormones or organs that relate to the reproductive health of women.

During secondary amenorrhea, women who are already having their periods, start to miss them. Not having periods for three months straight is characteristic of amenorrhea.

There are several causes of missed periods, and you must consult your gynecologist in Lahore when your periods are not regular anymore.

Symptoms of Amenorrhea

Alongside irregularity in the menstrual cycle, amenorrhea also causes symptoms including hair loss, headaches, visions problems, pelvic pain. Some women may also experience nipple discharge alongside acne.

Causes of Amenorrhea

There are several reasons why you may be suffering fromamenorrhea. Common culprits include:


The period of breastfeeding may also cause amenorrhea. The timeline of return of the periods post-birth may differ for different people; in some instances, it may end with breastfeeding, in others, periods may come back during the nursing period. 

Eating disorders

Eating disorders like anorexia nervosa can also be behindamenorrhea. It causes fat to drop so low in the body, that it then stops the process of ovulation, which causes one to miss out periods then.


A very common cause of amenorrhea is pregnancy. This is because since your body has already fertilized an egg, therefore, ovulation is on a pause till the period of incubation of the baby.

 Some women may get light vaginal bleeding during first few months, which can thus confuse women about their pregnancy. However, if you are experiencing such amenorrhea with very light bleeding, and are sexually active, you should take a pregnancy test.


There is so much damage that stress does around the body. Alongside causing chronic ailments, stress also leads to problems with menstrual cycle. Since stress interferes with the hormone secretion; it alters the functioning of hypothalamus, a part of brain that regulates secretion of certain hormones, including female sex hormones.

 It causes periods to stop as a result. It is often the case that when stress abates, the cycle also becomes regular.

Too much exercise

While exercise is good for health, however, excess of everything is bad, including, exercise. Physical activities that require rigorous training, which is often the case for athletes, may lead to amenorrhea due to low body fat –which interrupts ovulation – and stress, alongside high energy usage. 

 Weight problems

Weighing too much or too little, both is problematic. Women who have extremely low body weight suffer from hormonal problems, and lack of regular cycle is the collateral damage then.

Similarly, being obese also poses as a risk for period problems. Period cycle be return to normal after you gain or lose weight.

Hormonal issues

Since hormones regulate periods, therefore, problems therein result in amenorrhea as well. Thyroid gland secretes a range of hormones. A malfunction in the gland, known as hypothyroidism, can cause under-secretion of the hormones, that can also cause amenorrhea.

Similarly, presence of benign tumor in the pituitary gland can also lead to hormonal problems that then causes issues with the menstrual cycles. 

Likewise, some people might suffer from premature menopause; while the usual timeline for menopause is somewhere in the 50s, in some women, it may start in the 40s, leading to amenorrhea then.

Another common hormonal problem that results in this issue is Polycystic ovary syndrome. In this condition, cysts form on the ovaries. PCOs also lead to problems with ovulation, therefore, leading to amenorrhea.

Other symptoms of PCOs include weight gain, hirsutism –especially appearance of hair on the face. To manage PCOs, you need to enlist the help of Gynecologist in Karachi then.

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