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Base on some FAQ I will be sharing on; Absent Period… Otherwise Known as Amenorrhea

Absent period is known as amenorrhea. Amenorrhea is divided into two distinct groups: primary amenorrheaand secondary amenorrhea. Secondary amenorrhea being the most common.
Note: Absent menstrual cycles due to perimenopause and menopause are not considered amenorrhea.

Primary Amenorrhea
Defined as the absence of menstruation by the age of 14 with no secondary sexual characteristics, or the absence of menstruation by the age of 16 regardless of secondary sexual characteristics. Examples of secondary sexual characteristics in women are enlargement of breasts, widening of hips, armpit, pubic and leg hair and body odor. Primary amenorrhea is uncommon, happening in about only 0.3% of women.

Secondary amenorrhea
Defined as the absence of menstruation for the total of at least 3 previous menstrual cycle lengths, or at least 6 months in a woman who previously had a menstrual cycle and is still in her reproductive years. Reproductive years are defined as menarche, when a woman begins her menstrual cycle in puberty until menopause around the ages of 40-55. Secondary amenorrhea is more common than primary amenorrhea.

Causes of Absent Period
A menstrual cycle that has stopped is not a disease, it may be a sign that there is an underlying imbalance in the body. A regular menstrual cycle is regulated by a complex system of messages and actions orchestrated by the endocrine system. The endocrine glands work together to send messages via hormones. This is called the feedback loop.

The system works when hypothalamus produces GnRH (gonadotrophin-releasing hormones) which signals to the pituitary to produce LH (luteinising hormones) and FSH (follicle stimulating hormone) to signal to the ovaries that it is their turn to release estrogen and progesterone which is recognized by the pituitary gland.



In simple terms as you can see a healthy cycle is dependent on each part of the feedback loop functioning properly. Think of it as an orchestra, if just one part of the cycle is off, it will throw the entire cycle off, causing imbalances that can affect regular menstrual cycles.

When to see a doctor
If you have not had a menstrual period for 3 consecutive cycles or more, it is time to make an appointment with your healthcare practitioner. They can help you to determine what the causes may be. Most medical doctors will often prescribe oral contraceptives (birth control pill) to get the menstrual cycle to regulate.

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