Causes of primary and secondary amenorrhea
Amenorrhea is the medical term for the absence of menstrual periods, either over a permanent or temporary basis. Amenorrhea can be labeled as primary or secondary. In primary amenorrhea, menstrual periods have never begun (by age 16), whereas secondary amenorrhea is defined as the absence of menstrual durations for three consecutive cycles or possibly a time period in excess of six months in a girl who was previously menstruating.
The causes of amenorrhea?
The normal menstrual period occurs because of changing degrees of hormones made and secreted with the ovaries. The ovaries reply to hormonal signals from this pituitary gland located for the brain’s base, which, therefore, is controlled by hormones stated in the hypothalamus of the brain. Disorders that affect any part of this regulatory cycle can cause amenorrhea. However, a common source of amenorrhea in young girls sometimes overlooked or misunderstood with the individual and others can be an undiagnosed pregnancy.
Amenorrhea in pregnancy can be a normal physiological function. Often, the same underlying problem can cause or contribute to often primary or secondary amenorrhea. As an example, hypothalamic problems, anorexia or extreme exercise can play an important role in causing amenorrhea based on the person’s age and if she has experienced menarche.
Causes of Primary amenorrhea
Almost all girls begin menstruating between ages 9 and 16, with an average of around 12 years. Primary amenorrhea typically occurs when a girl is older than 15, f she has gone through other normal changes that occur during puberty. Primary amenorrhea may occur with or without other signs of puberty.
Being born with the wrong way formed genital or pelvic organs can result in primary amenorrhea. Some of such defects include:
- Blockages or narrowing on the cervix
- Imperforate hymen
- Missing out on uterus or vagina
- Genital septum
Hormones play a big role in a woman’s menstrual cycle. Hormone problems can happen when:
Changes occur on the parts of the mental faculties where hormones that help manage the menstrual cycle are produced
The ovaries aren’t working correctly
Either of such problems may be because of:
- Chronic or long-term health problems, such as cystic fibrosis or coronary disease
- Genetic defects or disorders
- Infections that occur inside the womb or after beginning
- Other birth defects
- Poor nutrition
In a lot of cases, the cause of primary amenorrhea just isn’t known.
Causes of Secondary amenorrhea
Secondaryamenorrhea refers to menstruation that has occurred one or more times but has stopped, typically for few months or longer. This differs from primary amenorrhea, a condition when a woman does not have got her first period by the age of 16.
You must miss at the least three to six menstrual periods without pregnancy to become diagnosed with secondary amenorrhea.
A number of factors can contribute to the condition, including:
- birth manage use
- certain medications
Pregnancy is the greatest reason women miss intervals. However, pregnancy, breastfeeding, and menopause don’t cause this condition.
Amenorrhea just isn’t harmful to your health. It can be treated effectively in most cases. However, you must address the underlying conditions that cause amenorrhea to make certain your overall health.
Body weight can be the cause in regular menstruation at the same time. Women who are very overweight or that have less than 15 percent excess fat may stop getting intervals. This is especially accurate for athletes who coach extensively or excessively. Good National Institutes of Wellbeing (NIH), losing weight quickly through an extreme diet could also cause secondary amenorrhea (NIH, 2012).
Emotional stress is a non-physical cause of legitimate amenorrhea. Your body may answer extreme stress by quickly derailing your normal menstrual cycle. Your periods will almost certainly resume once you process your tension and anxiousness.