menstrual cycle

Primary and Secondary Amenorrhea - What are the causes of missed periods?

  • 22739 views  
  • 4.8   (8 Votes)
Medically Reviewed by Dr. Deepika Tiwari - MS, MBBS on 28 May 2019 - Written by Dr. Weena Krutsawad - MD, Diploma, Diploma - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MS, MBBS

Amenorrhea is of two types i.e. Primary Amenorrhea and Secondary Amenorrhea. Missed periods can be seen in pregnancy, breastfeeding, and menopause. Other reasons for delayed periods in women are obesity, excessive stress, and performance of exercise, presence of PCOD in women.

Amenorrhea is a condition means an abnormal absence of menstruation cycles that comes monthly or simply long time missed periods. There are various reasons that could lead to amenorrhea be it genetic, physiological, hormonal or deteriorating health or malnutrition. There are certain ways in which you can try to regularize delayed menstruation cycle on a monthly basis. (3) This condition of amenorrhea or irregular periods is broadly classified into two main categories:  primary amenorrhea and secondary amenorrhea. (1)

What is Primary Amenorrhea:

Primary amenorrhea is a medical condition in young adolescent girls or teenage girls those who have not yet experienced their first menstrual period cycle up till the age of 16 years, that is, even after hitting puberty age. (2)

Underdeveloped Sexual Organs:

In some conditions or cases, genetic damage or defect during fetal development could lead to the medical condition of amenorrhea in young girls and teenage girls. Malfunctioning of ovaries or poorly dysfunction of reproductive organs can come in the way of menstruation. (4)

A reproductive defect in the reproductive system could mean that some part of the system like the cervix, uterus or the vagina didn’t form properly to function at their respective time, and that's the reason why a physiological process of menstruation cycle didn’t take place at the right time.

Problems in the central nervous system:

Malfunctioning of the pituitary gland, which controls most of the hormonal functions of your body can delay the period cycle or mess up one’s menstrual period cycle. In addition to this, an injury to the brain or the spinal cord could also be a big reason for primary amenorrhea condition in young girls. (5)

Secondary Amenorrhea:

This medical condition of Amenorrhea is linked up with women who suffer from long time missing periods due to some gynecological problems, complications of medications, (6) malfunctioning of the glands or hormonal disturbance in the body. Secondary, amenorrhea is also been seen in women who had been menstruating normally and now suffers from missing periods for a long time due to the other medical condition mentioned here.

NATURAL CAUSES of missing PERIODS

The time when the missing period seems normal that is during: (7)

1. Pregnancy:

During the pregnancy phase, the fetus develops and grows inside the womb of the woman, which simply means that the uterus lining doesn’t shed out and this prohibits menstruation in women. (8)

2. Breastfeeding:

Breastfeeding helps the new mother to delay menstruation. It works as a natural method of family planning by delaying menstruation or period cycle.

3. Menopause:

Menopause is the phase between 45-50 years of age that is seen with a total absence of menstruation cycle.

GYNECOLOGICAL PROBLEMS

Sometimes some health conditions can also disrupt normal menstrual periods and become a cause of secondary amenorrhea in women. Polycystic ovarian syndrome or PCOS is a lifestyle condition that affects ovulation and chances of conceiving. In this condition of PCOS, the woman’s body produces more androgens than usual, which gives rise to fluid-filled cysts inside the ovaries might be painful sometimes and interferes with the release of the eggs that is needed to fertilization. Women who are suffering from PCOS either suffer from amenorrhea or have irregular periods with unusual bleeding. This medical condition also affects a woman’s fertility vastly. (9)

Medications and treatments:

Missing period or long delayed menses could also be a side-effect of certain medications or an outcome of some medical procedure or treatments, like Contraceptives. Many women show concern about delayed or missing periods after discontinuing oral birth control pills. Exceptionally, intra-uterine devices can also lead to amenorrhea- primary or secondary. Some medications may also be a concern like antidepressants, blood pressure drugs allergy pills can cause more severe effects. (10)

Written by

Dr. Weena Krutsawad

MD, Diploma, Diploma
Gynecologist, Reproductive Endocrinologist
Bangkok
Dr. Weena Krutsawad successfully is an infertility specialist who has completed MD from Faculty of Medicine, Chulalongkorn University, Thailand, Bangkok in 2007. She has also completed Diploma of Obstetrics and Gynecology and Diploma of Reproductive Medicine from The Medical Council of Thailand in 2011 and 2013 respectively. Dr. Weena Krutsawad specializes in IVF, IUI, Reproductive Endocrinology and Menopausal Care. Find more information about Dr. Weena Krutsawad at elawoman.com
 

SOURCES AND REFERENCES:

  1. ^ Amenorrhea - Cleveland Clinic My.clevelandclinic.org, 28 May 2019
  2. ^ Amenorrhea Treatments Nichd.nih.gov, 28 May 2019
  3. ^ Primary Amenorrhea - Pituitary Network Association Pituitary.org, 28 May 2019
  4. ^ Primary amenorrhea - Medline Plus Medlineplus.gov, 28 May 2019
  5. ^ Nervous System Problems - Uofm Health Uofmhealth.org, 28 May 2019
  6. ^ Amenorrhea Diagnosis and Management Aafp.org, 28 May 2019
  7. ^ Amenorrhea - Mayo Clinic Mayoclinic.org, 28 May 2019
  8. ^ Absent Menstrual Periods - Secondary Medlineplus.gov, 28 May 2019
  9. ^ Signs and Symptoms for Gynecologic Problems - ariahealth Ariahealth.org, 28 May 2019
  10. ^ Medication and Counseling Treatment - Samhsa Samhsa.gov, 28 May 2019
Share on:

Was this page helpful?

For Instant Booking. Call +91 8929020600

8 Comments

Arpita Raja

My daughter had her cycles at the age of 11 for the first time. and after that, she faced pause for one year and it started again in the normal way. I was so tensed about it, But thank god it's normal.

Oct. 13, 2018, 10:07 a.m. 4.5

Yasmeen Ansari

Having some sort of medication can also influence or pause the periods. its completely normal and the chances of Amenorrhea is very less.

Oct. 6, 2018, 8:10 a.m. 5.0

Benz

My cycles are irregular, does that mean I have amenorrhea?

Sept. 18, 2018, 7:22 a.m. 4.5

Shilly

Please suggest me with some medicine for amenorrhea?

Aug. 28, 2018, 11:15 a.m. 5.0

Palak Rana

My mother is 51 years old and she still has her cycles. Is it completely normal??

Aug. 16, 2018, 11:55 a.m. 5.0

Sakshi Agarwal

I am missing my periods for 6 months and I am just 20. I am afraid that I might not conceive in future.

June 13, 2018, 4:16 p.m. 5.0

Surbhi Jaiswal

We all women must take iron and vitamins in good amount. I guess it's only your fault that we do not take care of our body and take it so lightly. Fresh fruit juices, green vegetables and whole grains should be our priority diet every day.

Oct. 31, 2017, 5:09 p.m. 5.0

Ericka Grigsby

Stress can also cause missed periods. Stress acts on hypothalamus and it prevents the signal transferring from brain to the reproductive parts and vice-versa. Over thinking or taking too much stress can cause delay in periods.

Oct. 31, 2017, 5:07 p.m. 4.5

Disclaimer

The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.
It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ela being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

More From  Author

Menstrual Cycle
Menstrual Cycle
posted on 09 Jan 2017 4.8/ 5 (7 Votes)

How to prepone periods? 8 natural remedies to get periods early

There are medicines that can postpone your menstrual cycle and there are medicines that can even pre-pone your menstrual cycle. But all women out the… read more

Family Planning
Family Planning
posted on 10 Jan 2017 4.8/ 5 (8 Votes)

Female condoms - Benefits, Tips and Uses of female condoms

Female condoms are not so common as compared to the male condoms. (1) Female condoms have been around for the last 20 years but female condoms have n… read more

Menstrual Cycle
Menstrual Cycle
posted on 11 Jan 2017 4.9/ 5 (5 Votes)

9 Best Home Remedies for Irregular Periods - When and How to use them?

Irregular periods is a very common problem these days and it is common too amongst adult women and impacts more than 20% of mensurating women. Irregu… read more

Related Article View all

Menstrual Cycle
Menstrual Cycle
posted on 09 Jan 2017 4.8/ 5 (7 Votes)

What is Endometriosis? What are Endometriosis Symptoms, Diagnosis, and Treatment?

Killer cramps are not normal. Periods that last longer than 7 days ar… read more

Menstrual Cycle
Menstrual Cycle
posted on 09 Jan 2017 4.7/ 5 (5 Votes)

Top 10 effective natural Remedies to cure menstrual cramps

Having your periods can be one of the most physically and emotionally… read more

Menstrual Cycle
Menstrual Cycle
posted on 09 Jan 2017 4.7/ 5 (7 Votes)

How to stop periods pain? - Effective Diet for painful periods

Weakness during periods is not uncommon especially during the first a… read more

Trending Articles

surrogacy

5 Best Surrogacy Doctors in India

Find the list of best surrogacy doctors in India who offers the best treatment with the highest success rate.

Read More 4.5 (1 Votes)

(IVF)

Best IVF Doctors in India with Highest Success Rates

Find here the list of best IVF doctors in India on the basis of Ratings, Success Rate, Services offered, IVF cost packages and available Facilities.

Read More 4.7 (3 Votes)

surrogacy

Top Surrogacy Centres in India with Highest Success Rates

In this article we bring you the best Surrogacy Centres and clinics in India with Review Ratings, Cost Estimates, and Surrogacy Success Rate

Read More 4.8 (2 Votes)

Go Prime with ELA

For Instant Booking Please call +91 8929020600
79% Success Rates 61,200+ Babies
2019 ElaWoman All Rights Reserved