What Happens When Your Body Is Trying to Start Having Periods Again After Amenhorrea

Overview

What is amenorrhea?

Amenorrhea is when y'all don't get your monthly menstruation. It can be temporary or permanent. Amenorrhea can result from a alter in role or a problem with some part of the female reproductive system.

There are times when you're non supposed to get your period, such as before puberty, during pregnancy and subsequently menopause. If amenorrhea lasts for more 3 months, it should be investigated.

How does the menstrual cycle piece of work?

A complex organisation of hormones controls the menstrual cycle. Every month, hormones prepare the body for pregnancy. Ovulation then occurs. If there is no pregnancy, the wheel ends with the uterus shedding its lining. That shedding is the menstrual flow.

The hormones responsible for this bicycle originate in different parts of the body. A dysfunction in any of these parts can prevent a person from getting a period:

• Hypothalamus, which controls the pituitary gland.
• Pituitary gland, called "the chief gland," which produces the hormones that instruct the ovaries to ovulate.
• Ovaries, which produce the egg for ovulation and the hormones estrogen and progesterone.
• Uterus, which responds to the hormones and prepares the lining. This lining sheds as the menstrual menstruation if there's no pregnancy.

What are the types of amenorrhea?

In that location are two classifications of amenorrhea:

• Chief amenorrhea is when you oasis't gotten a offset menstruation by age 15 or within five years of the outset signs of puberty. It tin can happen due to changes in organs, glands and hormones related to menstruum.
• Secondary amenorrhea is when you've been getting regular periods, merely you stop getting your period for at least 3 months, or you cease your menses for six months when they were previously irregular. Causes can include pregnancy, stress and affliction.

Who is at risk for amenorrhea?

Run a risk factors for amenorrhea include:

• Family history of amenorrhea or early menopause.
• Genetic or chromosomal condition that affects your menstrual cycle.
• Obesity or being underweight.
• Eating disorder.
• Over-exercising.
• Poor nutrition.
• Stress.
• Chronic illness.

Symptoms and Causes

What causes amenorrhea?

The different types of amenorrhea have different causes.

Common causes of primary amenorrhea include:

• Chromosomal or genetic problem with the ovaries (the female sex activity organs that concur the eggs).
• Hormonal problems stemming from problems with the hypothalamus or the pituitary gland.
• Structural problem with the reproductive organs, such as missing parts of the reproductive system.

Common causes of secondary amenorrhea include:

• Pregnancy (which is the most mutual cause of secondary amenorrhea).
• Breastfeeding.
• Menopause.
• Some birth control methods, such as Depo Provera, intrauterine devices (IUDs) and sure birth control pills.
• Chemotherapy and radiation therapy for cancer.
• Previous uterine surgery with subsequent scarring (for example, if you had a dilation and curettage, often called D&C).

Other causes of secondary amenorrhea tin can include:

• Stress.
• Poor nutrition.
• Weight changes — extreme weight loss or obesity.
• Exercising associated with low weight.
• Ongoing illness or chronic disease.

You may besides have weather condition that can crusade secondary amenorrhea:

• Primary ovarian insufficiency, when you experience menopause before age twoscore.
• Hypothalamus disorders, such as functional hypothalamic amenorrhea (FHA) — which is also called hypothalamic amenorrhea (HA). FHA is a status where amenorrhea is associated with stress or weight loss, merely isn't clearly caused by an organic result with a adult female's body.
• Pituitary disorders, such as a benign pituitary tumor or excessive production of prolactin.
• Other hormonal bug, such as polycystic ovary syndrome, adrenal disorders or hypothyroidism.
• Ovarian tumors.
• Surgery to remove uterus or ovaries.

What are the symptoms of amenorrhea?

The principal symptom is the lack of periods. Other symptoms depend on the cause. You may experience:

• Hot flashes.
• Nipples leaking milk.
• Vaginal dryness.
• Headaches.
• Vision changes.
• Acne.
• Excess hair growth on your face and body.

Diagnosis and Tests

How is amenorrhea diagnosed?

If yous miss a period, contact your healthcare provider. Your provider volition enquire yous about your symptoms and medical history. If amenorrhea occurred because of pregnancy, you can start prenatal care. If information technology's happening because of menopause, there is assistance if symptoms are uncomfortable. Missed periods leading to menopause usually begin in your 40s. Your provider will perform a physical test and a pelvic test.

Will I need whatever tests to diagnose amenorrhea?

Your healthcare provider may desire to do some tests, including:

• Pregnancy test.
• Blood tests to check hormone levels and detect thyroid or adrenal gland disorders.
• Genetic testing, if you have primary ovarian insufficiency and are younger than xl.
• MRI, if your provider suspects a problem with the pituitary gland or hypothalamus.

Do I need to go along track of when my periods happened?

Diagnosing amenorrhea can be challenging. If the cause of amenorrhea isn't obvious, such every bit pregnancy, your provider may ask you to keep a record of changes in your menstrual cycle. This history of your periods can help your provider effigy out a diagnosis.

Using an app or a journal, note:

• How long your periods terminal.
• When yous had your last period.
• Medications you are taking.
• Changes in your diet or exercise routine.
• Emotional challenges you lot're having, such every bit stress.

Management and Treatment

How is amenorrhea treated?

If your period stopped because of menopause or pregnancy, your provider will not need to treat it. In other cases, your treatment will depend on the crusade and may include:

• Losing weight through dieting and do (if excess weight is the cause).
• Gaining weight through an individualized nutrition programme (if extreme weight loss is the cause).
• Stress management techniques.
• Changing do levels.
• Hormonal handling (medication), as prescribed by your healthcare provider.
• Surgery (in rare cases).

In addition, your healthcare provider may recommend some treatments to help with the side effects of amenorrhea:

• Estrogen therapy to relieve hot flashes and vaginal dryness.
• Calcium and vitamin D supplements to continue basic strong.
• Force training.

Amenorrhea may be a symptom of anorexia nervosa, an eating disorder. If you or a loved one has this status, talk to a healthcare provider immediately and then you can get the correct treatment.

Will I need surgery for amenorrhea?

Surgery for amenorrhea is rare. Your healthcare provider may recommend it if you take:

• Genetic or chromosomal issues.
• Pituitary tumor.
• Uterine scar tissue.

Prevention

How can I preclude amenorrhea?

Living a healthy lifestyle can assistance prevent some causes of secondary amenorrhea. Try to:

• Maintain a good for you weight and swallow a healthy nutrition.
• Be aware of your menstrual cycle (and then you'll know if you miss a period).
• Become regular gynecological appointments, including having a pelvic exam and Pap examination.
• Get regular and adequate slumber.

Outlook / Prognosis

Will my menstruum return?

Typically, your period will return in one case you care for the underlying crusade. However, it may accept time to become regular again.

In some cases, you may have a wellness problem that means you'll never have a period. If that is the example, your provider can talk to you about fertility options if you wish to take a baby.

Are there complications of amenorrhea?

Amenorrhea is not life-threatening. Yet, some causes may lead to increased risks over the long term, so amenorrhea should always be evaluated. Researchers have plant a greater risk of hip and wrist fractures in people with amenorrhea. Y'all may besides exist at high risk for bone thinning and fertility difficulties.

What are the outcomes for people with amenorrhea?

Your particular outcome will depend on the crusade. For example, if you lot accept PCOS, you lot will likely need lifelong intendance to foreclose health complications and to institute regular cycles.

Living With

How tin I accept care of myself if I have amenorrhea?

Amenorrhea can affect bone wellness. Information technology'southward of import to eat a calcium-fortified diet and exercise regularly.

When should I see my healthcare provider nigh amenorrhea?

You should telephone call your healthcare provider if you miss three months of periods or miss a period and:

• Have problem with balance, coordination or vision, which could indicate a more serious condition.
• Produce breast milk when you accept not given nascency.
• Notice excessive trunk hair growth.
• Are older than 15 and haven't gotten your first period however.

What else should I ask my provider?

When you talk to your healthcare provider, ask:

• What is causing the amenorrhea?
• What are my handling options, and what are the risks and benefits to each?
• Exercise I demand to see an endocrinologist for hormonal treatments?
• Can I still get meaning if I have amenorrhea?
• Once my period returns, can I get amenorrhea again?

A notation from Cleveland Dispensary

If you lot're an older teenager (15+) who hasn't gotten a menses nevertheless, or yous've had a normal menstrual cycle simply now yous're missing periods, talk to your healthcare provider. Amenorrhea is commonly the sign of a treatable condition. Once your provider figures out what'southward causing missed periods, you can get care to regulate your cycle. You may need lifestyle changes or hormonal treatment to help resume normal menstrual cycles.

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Source: https://my.clevelandclinic.org/health/diseases/3924-amenorrhea

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