Amenorrhea is a medical term for temporary or permanent absence of menstruation. In some girls the menstruation won’t appear at a normal age, which is between ages 11 and 14, and this phenomenon is known as the primary amenorrhea. Primary amenorrhea is generally a consequence of late puberty, and only in very rare cases is the consequence of some abnormality of the sex or hormonal system.
In a woman who usually has regular menstruation, the delay or absence of menstruation is called a secondary amenorrhea. This type of amenorrhoea is the result of changes in the balance of hormones that control the release of ovarian eggs. Such a change occurs at the beginning of pregnancy. The hormonal system can also be disrupted by emotional factors (e.g. a conflict or new job), sudden weight changes, diseases or some medications. Secondary amenorrhea may also occur in women who have stopped taking contraceptive pills (but after several months). In rare cases, the absence of menstruation is the result of a disorder affecting the development of the ovum (egg) – so, for example, hypothalamic dysfunction may sometimes cause secondary amenorrhea.
Menstruation stops permanently in menopause, as well as after removing or destroying both eggs (for therapeutic reasons).
Amenorrhea is a common disorder; one out of 100 women are addressing the doctor for this problem annually. Secondary amenorrhea is much more frequent than primary.
Amenorrhea itself is not dangerous to health, except in rare cases where it is the symptom of a more serious disorder. However, until the condition persists, a woman with amenorrhea will have problems with getting pregnant (or may not be able to get pregnant).
What to do?
If you are over 16 years old and have not yet got your menstrual period at all, contact your doctor. He will examine you and examine whether amenorrhea (in your case) is the result of some illness. In most cases, an examination will show that everything is fine and that no treatment is needed, so you can expect your menstruation with confidence.
If you have already started menstruating, and your menstruation is absent for two weeks or longer, go to your doctor for examination. You may be pregnant; in that case, make a pregnancy test or ask your doctor to refer you to the appropriate place. If you are not pregnant, and you have no other problems or symptoms (and if you generally feel healthy), your doctor will probably advise you to wait a few months, and during that period your menstruation may re-occur regularly. But, you have to know that amenorrhea does not give you a ”safety” against conception. Eggs can develop and reach the uterus at all times; therefore, if you do not want to get pregnant, you will need to apply contraceptives.
If your menstrual period is absent for nine months, diagnostic tests will be required to determine any disease or disorder. But if the tests do not reveal anything, your doctor will only treat you if you want to get pregnant and will prescribe you a drug to stimulate egg development.