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No period in 5 months, after stress..

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im 18, i havent had period in 5 months, i had it for a couple of mins a month ago, i still get the pains, 5 months ago my best friend died n then a week later another friend died, ive had relationship problems. i havent had any weight gain. i hav anxiety and hav low iron, i feel tired a lot, i dont take any other medication apart from the birth control pill n asthma puffers. i am having safe sex always make sure it hasn't broken. whats happening to me im getting worried n scared?

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replied December 28th, 2010
Womens Conditions Answer A18025
Hi, and thanks for your medical question on eHealth forum!

Basically you have secondary amenorrhea or absence of periods/menstruation due to some thing. Not having periods for last 5 months could be due to post pill amenorrhea where periods stop because of suppression of pituitary gland in the brain by the contraceptive pills or depot shots. So this is the first thing that has to be ruled out. In most cases periods return on their own after post pill amenorrhea within 6 months. After 6 months and after appropriate tests, drugs like clomiphene or progesterone, as the need may be, will have to be started to stimulate the pituitary to release FSH and LH.

If this is not the case, then other causes will have to be looked into. Stress and anxiety is a major factor. Thyroid problems and abnormal levels of FSH, LH, prolactin, androgen hormones or male hormones and estrogen hormones too can be the cause. MRI of brain may be required to rule out pituitary tumors secreting prolactin. Another major contributor is polycystic ovarian syndrome (PCOS). This can be diagnosed by a CT scan or abdominal ultrasound and tests for insulin resistance. Smoking is also often associated with secondary amenorrhea and can be worse in presence of stress. Sometimes tumors of the ovaries and brain may also cause absence of menstruation. Severe anemia and malnutrition, excess weight gain or weight loss, hypothyroidism too can contribute.

Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your gynecologist once. Hope this helps. Take care!

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