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Lack of menses and hormonal pills

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I have been having irregular menstrual cycle ever since I got married 2 years ago. I recently seen a doctor as I intend to have a baby. He gave me some medicine to regulate my menses so I can get pregnant easier. However, after I took that medicine, my menses became heavy and last about 2 weeks. I went to another doctor to check if this is regular, who then refered me to a gynae. The gynae gave me another medicine to make my menses come so that they can carry out a blood test. However, my menses did not come after taking that medicine. I visited another gynae who also gave me another medicine (hormone pills). I have took it almost a week ago, but I still have not had my menses yet eventhough I spotted symptoms that my menses is nearing after I took the medicine such as pimple breakouts & stomach cramps (symptoms I usually experience when my menses is nearing before I got married.) I have not had my menses for the last 5 months now. Is there anything wrong with me? Any advise?

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replied December 24th, 2009
Menstruation Answer A8677
Hi, and thanks for your medical question on eHealth forum!

If you have not had your menses for the last 5 months, despite taking so many pills, the chance of a pregnancy should be ruled out. Taking too many hormone pills can cause an absence of periods. The cause is suppression of the pituitary gland by the hormonal pills which prevents ovulation and hence irregular or absent menstrual cycles. You will need to get a hormone assessment of FSH, LH and estrogen. Also, you will need to stop the pills for the periods to start once the suppression by the pills is overcome.

The periods could also be absent due to other causes namely anemia, malnutrition, sudden weight loss or gain (obesity), thyroid disorders and a hormonal imbalance due to polycystic ovarian syndrome(PCOS), stress and anxiety, depression, overexercising, and smoking.

Hence, you need tests to rule these out too. Since a confirmed diagnosis cannot be given on the internet please discuss these possibilities with your gynecologist. It will be good if you can consult an infertility specialist for the right approach for treatment. Hope this helps. Take care!

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