Image result for Amenorrhea and infertility Connection

Amenorrhea is the absence of periods. This symptom is a result of a disorder of the reproductive system. In some cases, it is also accompanied by various symptoms such as excess facial hair, headaches or even abdominal pain, based on what is causing it. At the Malpani Infertility Clinic, we first diagnose the actual cause of your amenorrhea; we do this by:

  • Taking a very careful history
  • Do a comprehensive workup as well
  • Make a detailed record of your menstrual periods
  • Note all the associated symptoms

All these things help us get a clearer picture of what the underlying cause could be and helps us make the right diagnosis.

What is Amenorrhea?

These conditions could either be pathological or physiological

  • Physiological Amenorrhea- This is normal and is the absence of periods prior to puberty, during pregnancy as well as post menopause
  • Pathological Amenorrhea- This is a result of some disease

It’s also possible to classify this as primary and secondary amenorrhea, In case a girl doesn’t get her periods by the time she is 16 years of age, she is diagnosed as having primary amenorrhea. If a woman who has had regular periods in the past, does not get her periods for 3 months, its referred to as secondary amenorrhea. The latter could be caused by a number of different diseases, such as:

  • Polycystic ovarian disorder
  • Stress
  • Drugs
  • Malnutrition
  • Chronic illness
  • Excessive exercise

Normal menses is when the body cyclically sheds the uterine lining. This is influenced by the reproductive hormones called estrogen and progesterone that are produced by the ovaries. In simple terms, amenorrhea occurs either due to a disorder that affects the uterus, or the reproductive hormones.

Read moreInfertility and Missed Periods

Amenorrhea and Infertility

In infertile women, the most common cause of secondary amenorrhea is anovulation; in this condition, the ovaries fail to produce eggs. Doctors commonly prescribe tests such as:

  • Blood tests to check for the hormones- prolactin; TSH; FSH and LH: and AMH
  • Vaginal ultrasound scan

The most common reason for anovulation is generally PCOD (Poly cystic ovarian disorder). Despite this, it’s important to rule out other causes, including:

  • Multicystic ovaries
  • Premature ovarian failure
  • Functional ovarian cysts

Do getting normal periods help your fertility? 

It’s not uncommon for women to believe that if a doctor is treat them and regularize their periods, it will help them get pregnant. The one thing to keep in view here is that this is only the underlying cause of the irregular periods that has to be treated if you do want to have a baby. If PCOD is causing anovulation, then you will have to be treated to induce ovulation to get pregnant. The progesterone hormonal therapy that induces a period won’t help you achieve a pregnancy.

Read moreWhat Every Infertile Woman Needs to Know about Missed Periods


The most common cause of amenorrhea is anovulation and we at the Malpani Infertility clinic can help in making the right diagnosis in order that you get the appropriate treatment.

Not happy with the attention you are getting from your IVF clinic? Need more information? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you!

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

Open Video