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Womens Health > Menstruation Forum > Possible causes of amenorrhea
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Q: Possible causes of amenorrhea
asked by: DoctorQuestion on May 11th, 2009
Hi, i have a problem of not seening my menstral period normally , i am 30 years and i have only seen it say abt 4 or 5 times in my life and the times i saw it was tru bills and it comes sparingly . i want to knw wat can cause this . i was told that i have a retroverted womb and my belly has heavy fats. i always have pains in my tommy , i really dont knw wat to do, doc wat do u think is the problem.


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Dr. Goce Aleksovski , MD
replied on May 14th, 2009
Menstruation Answer A6581

It seems that the symptoms you described such as lack of regular monthly menstrual bleeding (“came only few times in life”) and regular abdominal pain, might indicate borderline condition between amenorrhea and oligomenorrhea (more towards amenorrhea).
Amenorrhea is absence of menstrual period in women of reproductive age. It could be physiological (if during childhood, menopause or pregnancy/breastfeeding) as well as pathological (if there is some pathological underlying condition). Amenorrhea is primary if menstruation cycles never started, while secondary amenorrhea is a condition when menstrual cycles started, but stopped because of some reason.
However, there are plenty of reasons that could cause amenorrhea. It is usually some kind of imbalance of sexual or thyroid hormones (such as FSH, LH, estrogens, T4, T3, TSH, etc.) which could lead into lack of ovulations (so called anovulatory cycles). Another reason for missing menstrual bleedings could be elevated prolactin level in the blood due to stress or other organic reasons. If uteral cavity is “closed” by adhesions, then there would be no chance for the uteral inner lining (endometrium) to develop and fall off every month. Moreover, PCOS (polycystic ovarian syndrome) might produce an amenorrhea as a consequence.
Whatever the reason, it is advisable that you consult with your gynecologist about the numerous reasons that might provoke a secondary amenorrhea, because an adequate treatment depends on the proper diagnose of what is causing it (the etiological treatment is the right one).





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