Two Types Of Missed Period
In medicine, a missed period is called amenorrhea. Physicians categorize amenorrhea in two major types: primary amenorrhea and secondary amenorrhea.
Primary amenorrhea is a condition in which a female older than 15 years of age has never had any period, i.e. her periods have not started yet. The reason can be genetic or due tocertain diseases.
Causes: Lack of presence of uterus from birth, immature development of uterus and genetic abnormalities are some of the common causes of amenorrhea.
A condition in which the female is not having her periods from past three months or more is categorized as secondary amenorrhea.
Causes: The causes of secondary amenorrhea can be various, including polycystic ovaries , underweight, anxiety and stress, tumor of pituitary gland, etc. It can also mean pregnancy but it is noteworthy that no period, not pregnant can also be the case.
Excessive Exercise With Weight Loss
Do you have excessive exercise recently to reduce weight? Excessive exercise with more than 10 percent loss of body weight can affect your hypothalamus normal function.
The hypothalamus, which is situated in the brain, controls ovulation by the pulse-like release of Gonadotropin-releasing hormone . This hormone regulates the production of estrogen and progesterone that directly controls ovulation.
During strenuous exercise, this pulse-like release of GnRH hormone is affected or reduced affecting ovulation and your period.
Producing Too Much Prolactin
Prolactin is a hormone that the body usually makes during breastfeeding. It can halt menstruation and is the reason why most breastfeeding women do not have periods.
In people who are not breastfeeding, a milky discharge from the nipples can signify that the body is making an abnormally high amount of prolactin. Doctors can treat excessive prolactin production with medication.
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What Are Regular Periods
Most girls get their first period between the ages of 10 and 15, but some get it earlier and some later. The first period is known as menarche .
A girl’s monthly cycle is the number of days from the start of her period to the start of the next time she gets her period. You often hear this is a 28-day cycle. But 28 is just an average figure that doctors use. Cycle lengths vary some are 24 days, some are 34 days. And a girl may notice that her cycles are different lengths each month especially for the few years after she first starts getting her period.
Early in a girl’s cycle, her ovaries start preparing one egg. At the same time, the lining of the uterus becomes thick to prepare a nesting place for a fertilized egg in the event that the girl becomes pregnant.
About 2 weeks before a girl gets her period, the egg is released from the ovary . The egg travels through the fallopian tube into the uterus. If the egg isn’t fertilized by sperm, it starts to fall apart. Then the lining and egg leave a girl’s body as her period and the whole thing starts all over again that’s why we use the word “cycle.” The first day a girl’s period comes is Day 1 of her cycle.
It’s also normal for the number of days a girl has her period to vary. Sometimes a girl may bleed for 2 days, sometimes it may last a week. That’s because the level of hormones the body makes can be different from one cycle to the next, and this affects the amount and length of bleeding.
Doing Too Much Exercise
The stress that intense physical activity places on your body can affect the hormones responsible for your periods. Losing too much body fat through intense exercise can also stop you ovulating.
You’ll be advised to reduce your level of activity if excessive exercise has caused your periods to stop.
If you’re a professional athlete, you may benefit from seeing a doctor who specialises in sports medicine. They’ll be able to give you advice about how to maintain your performance without disrupting your periods.
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Wondering What To Do When Your Period Isn’t Coming Start Here
Light, irregular or missing periods are classic signs that you may not be ovulating. If your period isnt coming and you are a young, active woman with no baby plans on the horizon, you might be thinking, “Why should I care?”
Let me tell you ovulation is important for every woman. It is part of any healthy hormonal cycle, a key measure of a womans overall health, and a symbol of our vitality and creativity. Plus, the symptoms we get when we dont ovulate are no fun.
If youre experiencing infertility you might be all too aware that you are not ovulating, but the best way to keep tabs is to track your ovulation signs.
There are 5 ways to track your ovulation signs, including tracking your hormonal symptoms. A great way to do this is with the MyFLO app, which makes it easy and educational.
Think of your hormonal cycle as a chain reactionif one stage does not occur properly, the following stages will not receive the correct triggers. When your ovary releases an egg, the ruptured egg sack produces progesterone. The increase of progesterone in your body encourages the build up and eventual release of the lining of your uterus .
Without proper ovulation, low or no progesterone is produced. Communication between your ovaries, uterus, and pituitary gland goes awry.
If none of these apply to you, both you and your doctor might be baffled as to whats happening and exactly why your period is missing.
It can happen for you, too.
What Is The Difference Between Primary And Secondary Amenorrhea
Primary amenorrhea occurs when a young woman has not had her first period by the time she turns 16. Secondary amenorrhea happens when a woman who has previously had normal menstruation cycles stops getting her period. .
Primary amenorrhea signifies a change in organs and hormones involved in menstruation. Secondary amenorrhea has a wide variety of causes ranging from pregnancy to stress. .
In addition, women with amenorrhea may experience other symptoms such as:
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Symptoms Of A Late Period And Pregnancy
The symptoms of a late period will be obvious to many women who menstruate regularly. If you were expecting your period, and it doesnt begin, youll know its late. Not all periods arrive like clockwork, and its very normal for periods to occur on a slightly different schedule. Pregnancy isnt the only thing that can cause a late or skipped period. But if youre wondering whether your missing period might mean youre pregnant, you can look for other early symptoms of pregnancy. During the first 8 weeks of pregnancy, many women experience:
During the first trimester , your body produces large amounts of a hormone called progesterone. This can make you feel sleepy. Even during the first week after conception, you may feel more tired than usual.
Implantation bleeding is one of the earliest signs of pregnancy. It is very light bleeding, often called spotting, that happens as a result of the fertilized egg implanting to the uterine wall. Implantation is usually 6 to 12 days after conception, or the moment the egg is fertilized by a sperm.
Some women also have mild abdominal cramps during implantation. Other women dont notice any symptoms with implantation.
3. Breast Changes
You may see changes in your breasts as early as 1 to 2 weeks after conception. Your breasts may be swollen and tender to the touch. You may have soreness or a feeling of fullness in your breasts.
5. Missed Period
How Is Amenorrhea Diagnosed
Not having a period for more than a couple of months may not be normal, and finding out why is important. Amenorrhea may be completely normal if you are on birth control, but you should check with your health care provider if this is an expected side effect of your birth control method. Diagnosis starts with having a pregnancy test and a medical evaluation by a health care provider .
The exam begins with reviewing your medical history.
For example, your HCP will likely ask the following questions:
- When did you start to go through puberty? When did you develop breasts, pubic hair?
- Have you ever had any vaginal bleeding?
- When was your last menstrual period?
- Has your weight changed?
- Are you under stress or depressed?
- Do you have any foods you do not eat? Have you tried to lose weight through restricting what you eat, vomiting, or using laxatives? How hard do you have to work at keeping your weight where you want it?
- How much do you exercise? What activities?
- Do you feel like you have more hair on your face or abdomen than other women in your family?
- Have you ever had sexual contact or sexual intercourse?
- Do you use contraception?
- Do you take any medicines or herbs/supplements? If so, what?
Your HCP may then order blood tests to look at hormone levels or refer you to a specialist in adolescent medicine or gynecology who sees girls with irregular periods.
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Will I Need Any Tests
If you go to see a doctor about your periods stopping, first of all the doctor will ask you some questions. For example, the doctor will want to know:
- If you have ever had periods and whether they were regular.
- How long you have not had periods for.
- If you have recently been using any contraception.
- If you are on any medication or have any other medical conditions.
- If you have recently lost weight.
- If you are under any stress.
- If there is any chance you could be pregnant.
- If you have any other symptoms, such as hot flushes or milk leaking from your breasts. The doctor may also ask about symptoms of pregnancy such as morning sickness or tender breasts.
Your doctor may then wish to examine you. The doctor may want to check your weight and height and then work out your BMI. They may also want to feel your tummy. They may want to look for signs of possible causes. In some cases an internal examination may be needed.Whether further tests are needed will depend on what has been discovered from talking to you and examining you. You may not need any tests at all. Tests which may be needed include:
- A pregnancy test .
- Blood tests. These are done to check out a number of possible causes. They may be done to check hormone levels . Occasionally tests for gene abnormalities may be needed.
- An ultrasound scan.
When To See A Doctor About Absent Menstruation
A teenage girl who hasnt started her periods by at least age 16 should see a doctor. A trip to the doctors office is also necessary if she is age 14 or older and hasnt experienced any signs of puberty yet. These changes would include the following in numbered order of appearance:
Menstruating women and teens should see their doctor if they have missed three or more periods in a row.
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Reasons Your Period Is Late
During your usual morning routine, you open your cabinet, spot a box of tampons in the back, and you suddenly realize youre late. When was my last period? you think as you try to remember the last time you needed to reach for that box. Panic then takes over as your mind shoots straight to pregnancy.
While being pregnant is a possible reason for a missed period, there may be factors related to your health or lifestyle that are causing the delay, notes Shelley White-Corey, clinical assistant professor at the Texas A& M Health Science Center College of Nursing and a womens health nurse practitioner.
Your period may not make an appearance after your baby is born, but dont be alarmed! If you are breastfeeding your little one, a lack of periods is completely normal. Referred to as lactational amenorrhea, this is a phase that disrupts the rhythm of your menstrual cycle. After a few months, your monthly period should be right back on track.
Weight loss or weight gain
Whether youre overweight or underweight, any change in pounds can affect your monthly cycle. Common health problems linked to weight and irregular menstruation include eating disorders, such as anorexia and bulimia, and uncontrolled diabetes. If you suspect this might be an issue for you, see your health care provider right away.
Sleep schedule changes
Polycystic Ovary Syndrome
Reasons Your Period Could Be Late Besides Being Pregnant
Whether you get your period every 28 days like clockwork or have a flow that prefers to come and go as it pleases, having a period go MIA often feels like cause for alarm. Your mind runs wild with thoughts of pregnancy tests and ultrasounds and watching your baby graduate college – an imaginary life that youve created and nurtured and helped grow all because that little bit of blood you were hoping to find this morning didnt make its appearance. Whether pregnancy right now is your goal or youre holding off temporarily or forever, a fetus in utero is certainly not the only cause of a period gone rogue. Here are 6 reasons, besides being pregnant, that your period could be late.
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You Just Stopped Taking Any Form Of Birth Control
This includes whether you stopped taking your birth control pills, removed your IUD or Nexplanon implant, or discontinued your birth control shots, says Dr. Irobunda. The reason: For the most part, these can awesomely regulate your cycle, so when you stop taking it, it can be a shock to your body. “We’re not sure exactly why it happens, but it may take time for your system to wake up,” says Dr. Dweck.
It might be a couple months until you get your period again. One big thing to remember: You can still get pregnant even without a period you can still ovulate so use condoms anyway if you’re not ready to get pregnant.