Absent Periods – Amenorrhoea

Amenorrhoea refers to the absence of menstrual periods. It can be classified as primary (when periods have not started by age 15) or secondary (when periods stop for three months or more in someone who previously had regular periods).

Causes of Amenorrhoea

Natural Causes

• Pregnancy
• Breastfeeding
• Menopause

Lifestyle Factors

• Excessive exercise
• Stress
• Low body weight or eating disorders

Medical Conditions

• Polycystic ovary syndrome (PCOS)
• Thyroid disorders
• Pituitary gland issues

Diagnosis

To diagnose amenorrhoea, your doctor may:

• Take a medical history and perform a physical exam.
• Order blood tests to check hormone levels.
• Recommend imaging tests like ultrasound or MRI.

Treatment

Treatment depends on the underlying cause and may include:

• Lifestyle changes, such as reducing exercise or managing stress.
• Medications to address hormonal imbalances.
• Treating any underlying medical conditions.

When to See a Doctor

Consult a healthcare provider if you:

• Have missed three or more periods in a row.
• Experience other symptoms like excessive hair growth, weight changes, or hot flashes.

Where to Get Help

• Your GP (doctor)
• Gynecologist
• Endocrinologist

If you would like this information in an accessible format, please email: betterhealthchannel@dhhs.vic.gov.au