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Amenorrhea is the absence of periods. It is a symptom which is a result of some underlying disorder of the reproductive system. It may or may not be accompanied by other symptoms like headache, excess facial hair, and abdominal pain depending upon the cause.

Malpani Infertility Clinic, we diagnose the cause of your amenorrhea by taking a careful history and doing a thorough workup. A detailed record of your menstrual periods and any associated symptoms will help us in making the right diagnosis.

About Amenorrhea 

Amenorrhea can be either physiological or pathological. Physiological amenorrhea is normal and is the absence of periods before puberty, during pregnancy and after menopause ; while pathological amenorrhea is a result of some disease.

Another way of classifying this is primary and secondary amenorrhea. When a girl does not get her periods by the age of 16, she is diagnosed as having primary amenorrhea. The absence of periods for over 3 months in a woman with a history of having menstrual periods in the past is referred to as secondary amenorrhea.

Secondary amenorrhea can be caused by various diseases including:

  • Polycystic ovarian disorder
  • Drugs
  • Stress
  • Malnutrition
  • Excessive exercise
  • Chronic illness
Normal menses occur when the uterine lining is shed cyclically under the influence of the reproductive hormones produced by the ovaries - estrogen and progesterone . In simple terms, amenorrhea occurs either due to a disorder affecting the uterus;  or the reproductive hormones.


Read more- Infertility and Missed Periods

Amenorrhea and Infertility

The commonest cause of secondary amenorrhea In infertile women is anovulation. Anovulation is the failure of ovaries to produce eggs.

The commonly prescribed tests are : blood tests to check for the following hormones: prolactin; TSH; FSH and LH: and AMH; and a vaginal ultrasound scan. The most common  reason for anovulation is usually PCOD (Poly cystic ovarian disorder) . However , it is important to rule out other causes, such as:

  • Multicystic ovaries
  • Premature ovarian failure
  • Functional ovarian cysts

Will getting normal periods help your fertility? 

Many infertile women naively believe that if the doctor can regularize their period, they will get pregnant. However, do remember that it is the underlying cause of the irregular periods which needs to be treated if you want to have a baby.

Thus, if the reason for anovulation is PCOD, you need treatment to induce ovulation in order to get pregnant. Just inducing a period with progesterone hormonal therapy will not help you to achieve a pregnancy.

Read more- What Every Infertile Woman Needs to Know About Missed Periods

The commonest cause of amenorrhea is anovulation and Malpani Clinic can help you in making the right diagnosis , so you can get the correct treatment.

Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.

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