Amenorrhea – if the rule fails

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Amenorrhea – if the rule fails


The menstrual bleeding is a sign of a periodically running process that is controlled by many hormones. Disturbances in the regulation of the microstructure can lead to differences in the strength, duration, and regularity of period. Sometimes it will remain quite. Read here what are the causes behind a lack of period are stuck and what you can do about it.

Primary and secondary amenorrhea

The female menstrual cycle occurs at regular intervals, on average, between 13. 45. Years old and lasts for 25-35 days. It is used to make an Egg for reproduction. It comes after ovulation, not fertilization, is scraped off the top layer of the endometrium and approximately 3-7 days in a continuous period bleeding starts. The first day of bleeding corresponds to the beginning of the new cycle.

This process runs according to the same pattern, and sticks of various sex hormones from the brain (FSH, LH) and eggs (Estrogen, progesterone) controlled. Menstrual disorders can have psychological or physical causes.

  • Primary amenorrhea: Up to 18. Age is no menstrual bleeding.
  • Secondary amenorrhea: It was a normal cycle, then bleeding for at least 3 months.

Causes of amenorrhea

In the case of the Primary Form, the physical causes are the basis for almost always. To congenital chromosomal abnormalities, and genital malformations, functional disorders of the ovaries and hormonal disorders v. a. in the include gland between the brain and the pituitary.

In the case of the Secondary Form phase of mental or physical stress are rarely the cause. For example, is a (work-related) Stress, travel, upcoming important decisions, or family events. What happens in the Individual on a hormonal level, is not yet fully elucidated. However, it is believed that such situations can cause malfunctions in the nervous system that affect hormone regulation.

Younger women great weight can lead to fluctuations, or excessive weight loss such as in anorexia in the Absence of the period.

Hormonal disorders as a cause

Hormonal disorders and metabolic diseases affect women at any age. So an increased blood levels of male sex hormones in the Absence of the period, an effect that the athletes know that steroids leads to take to build muscle.

Rarer trigger hormone-producing tumors in the ovary, a severe General diseases and medication, in particular hormone preparations, cancer agents, but also psychotropic drugs and tablets for lowering blood pressure. After Stopping the pill it can take a few weeks until the cycle is back to normal (“Post-Pill amenorrhea”).

In addition to pathological forms, there are also physiological, i.e. normal, amenorrhoea, which is due to the Hormonal changes during pregnancy and lactation as well as during and after the Menopause. By the way: Even if the month is no menstruation after birth for a few weeks, there is not a sufficient protection in front of it, to be pregnant again, at least if the woman is breastfeeding.

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