Amenorrhea
Amenorrhea is defined as the absence of menstruation. This is normal before puberty (normally occurs by age 14), after Menopause, and during pregnancy and breast feeding. It is considered abnormal at any other time in a woman’s life.
Cause – May be caused by congenital abnormalities (woman born without ovaries, uterus, etc.), eating disorders such as starvation diets, Bulimia, or excessive exercising, endocrine (hormonal) disorders, or other disorders such as Diabetes, obesity, Syphilis, etc. Discontinuing the use of birth control pills may temporarily alter a woman’s menstrual flow.
Diagnosis – A noticeable failure to achieve the onset of menstruation in a 16 year old girl (at 14 signs of sexual maturation should begin to appear; body hair growth, breast development, etc.), or if menstruation has already started then ceases, is indicative of amenorrhea.
Evaluation by a physician to determine the underlying cause is necessary.
Treatment – Will vary depending on the cause. A physician may prescribe hormonal replacement therapy to initiate menstruation. Eating, or exercise disorders may be treated with counseling or therapy. Normal menstruation should resume when underlying conditions or conflicts are resolved.