Your period is missing! Where and why did it go? When will it come back? And why is this bothering you so much when you’ve wished countless times for your period to go away?
Anyone who has experienced Amenorrhea knows about the anxiety caused by the sudden disappearance of our friend who usually visits every month. I mean, how dare that biatch just dip out on you when she’s accompanied you (without invitation!) to so many dances, dates, beach weekends, and final exams?
Amenorrhea isn’t a disease, curse, or illness, but rather a symptom of something else going on within your body. Finding out exactly what is behind your Amenorrhea can sometimes be tricky because it can be an indicator of many different issues.
Causes of Amenorrhea
1. Hormone Imbalances Can Cause Irregular Periods
For the most part hormonal imbalances are behind the majority of Amenorrhea cases. Typically, the hormonal imbalance associated with amenorrhea is low estrogen or a combination of low estrogen and low progesterone.
When a woman’s estrogen and/or progesterone are too low, her body is unable to build up the uterine lining and subsequently shed that uterine lining each month (aka your period).
What exactly is causing this kind of hormonal imbalance can be one or a number of things. These are some of the top contributors:
- Hormonal Birth Control (especially the pill)
- Quitting Hormonal Birth Control (Post-Pill Amenorrhea)
- Eating Disorders like anorexia or bulimia
- Exercising too much (CrossFit 5 times a week anyone?
- Mental and emotional stress
- Low body weight
- Low thyroid function (hypothyroid)
- Early-onset menopause (before age 40) caused by premature ovarian failure
Additionally, a woman might have an issue where her body is producing too much testosterone, a male sex hormone. High testosterone can actually prevent or significantly delay ovulation each month, which causes periods to become irregular or disappear completely. This problem is commonly diagnosed as Polycystic Ovarian Syndrome (PCOS).
To test your hormones I recommenced using Lets Get Checked. You can grab their Female Hormone Test to see if your estrogen levels are the cause of your missing period. Or get your Testosterone Tested if you feel this is a concern. Be sure to use code Hormones20 to get 20% off the price of the test.
2. Structural And Genetic Issues Can Lead To Amenorrhea
These issues usually require more than just food and lifestyle changes. Primary Amenorrhea, which means you’ve never had a period and you are 16 years or older, is the biggest indicator of the problems or conditions below. I recommend that you see a doctor to determine the cause as soon as possible.
- Asherman’s Syndrome – uterine scarring or adhesions, which can prevent blood from exiting the uterus.
- Pituitary tumor – which causes high levels of the hormone prolactin. Prolactin suppresses ovulation and menstruation.
- Mayer-Rokitansky-Küster-Hauser syndrome – under-developed reproductive organs or a lack of them.
- Other genetic structural abnormalities
3. Medications That Can Cause Your Period To Disappear
You know all those scary side effects that most medications list? Well, sometimes those lists include missing your monthly cycle. Here are some meds that commonly cause Amenorrhea:
- Hormonal Birth Control
- Antidepressants
- Blood pressure medicines
- Chemotherapy
- Allergy Medications
- Antipsychotics
4. Natural Reasons Your Period Has Gone Missing
Our body progresses through natural phases and cycles where sometimes Amenorrhea is completely expected, so no need for alarm bells! These include:
- Pregnancy
- Breast-feeding
- Peri-menopause and menopause
Why You Need Your Period
Many women tell me that not having a period is a blessing or they don’t want kids so why should they care about whether they have a period or not. My response is this: Regardless of whether you want children or not, it is imperative to understand that your menstrual health is reflective of your overall health. If your period is missing or irregular, something deeper is going on that you need to look at.
There are also many physical and emotional symptoms associated with Amenorrhea that are no fun.
Symptoms of Amenorrhea:
- Acne – sometimes more than when you were a teenager
- Hair loss on your head or hair growth on your face
- A low or non-existent sex drive
- Or worse… when you do have sex, it hurts like hell
- Low or no fertile cervical fluid – yes, sometimes your underwear can be too clean
- Your energy is so low you can’t get out of bed easily or even get through the day without caffeine or sugar
- Depression or mood swings that disrupt your relationships and your life
If you have not had a period for more than three months and you are experiencing any of the symptoms above, I highly recommend seeing your doctor to determine the exact cause.
9 thoughts on “Amenorrhea Causes – Has Your Period Gone Missing?”
Hi
Iam ms. jobin.my age is 36
Can you help me to solve premature ovarian failure
It appears I have iron overload! It is true that this can cause amenerrea because iron builds up in the pituitary gland, and therefore stops producing sex hormones? Ever heard of such a scenario? Thank you!
Hi Nicole!
I know how important having a period is and ever since I lost a bunch of weight in 2010 I think I have had my period maybe 5 or so times and non in the last year or two…I can’t even remember the last time… I have always been into alternative ways and holistic health but for some reason still do not have it.. I have also been raw vegan with bee products for a year now and vegan since 2012… But starting to slowly add in more foods. Any suggestions would be so greatly appreciated and thank you for all you do!
-Gala
Hi i lost my period due to weight loss but I gained back the weight I lost and have now been a really healthy weight for about a year but my period hasn’t come back. Doctors have checked my hormones and my thyroid and said they’re both fine and not to worry about it but I’m scared of being infertile. Do you have any advice?
Hi Emma! I’ve just sent you access to my 3-prt video series which I think will help you a ton! xoxox, Nicole.
This is very nice…I love it
Its 3 months I haven’t seen my period like I should, But on the dates of supposed periods,, I spot and two weeks later I ovulate..
Isn’t that weird?
I do herbal medicines, I have taken series of it but I am still worried.
Hi! I think that mu amenorrhea is being caused by low body weight, as I am thin but lost more weight unintentionally a while back and I have trouble eating enough because I don’t get hungry often.. Wondering what you would reccomended to gain weight in a healthy way to get back on track? Thank you so much your site is super helpful!
Hi,
I came off the contraceptive pill, which I had been taking for 10 years, 6 months ago as my husband and I are trying to conceive and I haven’t had a period since. After going to the doctor about this I was told I could either continue to wait for it to come back or take something to kickstart my body into action. I chose the second option and was given a 5 day course of norethisterone to take which apparently would give me a period roughly 3 days after the end of the course. My worrry is that by taking the medince I will confuse my body even more by giving it more synthetic hormones and that after this one period after coming off the course of medicine I won’t get another one a month later i.e. it won’t help me menstrual cycle to start up again.
Have you heard of this medicine in the past? Does it work? Or will it just confuse my body even more?
I am of course also starting to take the steps you have been mentioning in your 3 part video on bring back your period so hopefully that will help.
From research I have done on your website and others and listening to podcasts I believe I have secondary amenhorrhea but no diagnosis has taken place. I work out 5 days a week for 45 mins a day with varied exercise such as heavy weight training, cardio and pilates but never feel overly fatigued from it so do not feel like I overexercise. I also have quite a high protein, low carb and low fat diet, probably do not eat enough for the amount I exercise but find it hard to lose weight (currently 50-51kg at 5ft 4) so I am going to try to change this as per your suggestions.
Any advise you could give to help kickstart my menstrual cycle would be great as well as specifically with regards to the medicine I have been given. Thanks.
Hi Sarah!
I am actually hosting 2 live webinars this week about irregular cycles, and I believe this would be a huge benefit to you. I will also have a Q+A period where you can personally ask me anything you’d like. My private 1-on-1 sessions are normally around $150, so being able to speak to me and ask anything you like for free on this call is a huge opportunity.
The first call is tonight (Wednesday 1/28) at 7pm (New York time) and the other is on Friday 1/30 at 12pm (NY time). Click here to convert your time zone.
You can sign up here for Wednesday’s webinar or sign up here for Friday’s webinar.
Let me know if you have any questions, or if I can help with anything else! 🙂
Have a great day!