{"id":1996,"date":"2023-01-28T14:14:04","date_gmt":"2023-01-28T14:14:04","guid":{"rendered":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/?p=1996"},"modified":"2023-02-13T14:19:50","modified_gmt":"2023-02-13T14:19:50","slug":"amenorrhea-one-of-the-most-common-menstrual-disorders-in-the-adolescent","status":"publish","type":"post","link":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/amenorrhea-one-of-the-most-common-menstrual-disorders-in-the-adolescent\/","title":{"rendered":"Amenorrhea: One of the Most Common Menstrual Disorders in the Adolescent"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Amenorrhea can be simply defined as the absence of menstruation in women. Typically, there are two types of the condition, namely:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Primary amenorrhea <\/b><span style=\"font-weight: 400\">is<\/span> <span style=\"font-weight: 400\">the absence of menstruation in teen girls who haven\u2019t got their period even having reached the age, or in other cases, after three years of starting breast development.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Secondary amenorrhea<\/b><span style=\"font-weight: 400\"> occurs in women who have had regular periods but suddenly stop having them for some reason.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Practically, neither amenorrhea type is a disease on its own. Still, these conditions often signal other problems that may need to be addressed, such as hormone imbalances, improper medication prescriptions, stress, too vigorous exercise, excessive weight loss, appetite problems, or various other issues. Because of the myriad of causes that may lead to amenorrhea, it\u2019s essential for teen girls to see a healthcare expert, no matter whether they\u2019ve stopped menstruating or haven\u2019t started it yet.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In this article, the expert team at <\/span><a href=\"\/worldwide-pediatrics\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Worldwide Pediatrics<\/span><\/a><span style=\"font-weight: 400\"> discusses the primary causes and symptoms of amenorrhea and will also talk about treatment options.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">And if you are looking for excellent <\/span><a href=\"\/worldwide-pediatrics\/pediatrician-plantation-florida\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">general pediatric care in Plantation and Doral, Florida<\/span><\/a><span style=\"font-weight: 400\">, or wish to learn more about common <\/span><a href=\"\/worldwide-pediatrics\/top-7-common-menstrual-disorders-every-woman-needs-to-know\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">menstrual disorders<\/span><\/a><span style=\"font-weight: 400\">, feel free to reach out to us.\u00a0<\/span><\/p>\n<h2><b>The Main Causes of Amenorrhea<\/b><\/h2>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-1998\" src=\"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea.jpg\" alt=\"Woman Hand Holding Calendar With Question Mark Waiting for Late Blood Period, Amenorrhea, Irregular Periods Concept\" width=\"1000\" height=\"682\" srcset=\"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea-200x136.jpg 200w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea-300x205.jpg 300w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea-400x273.jpg 400w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea-600x409.jpg 600w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea-768x524.jpg 768w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea-800x546.jpg 800w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/The-Main-Causes-of-Amenorrhea.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">Before we get into the issues that may trigger the absence of menstruation, it\u2019s vital to know that some girls will be a little late with starting their periods, and while they and their parents may be concerned, it\u2019s not an issue.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Sometimes, the causes of secondary and primary amenorrhea may overlap, and the underlying causes of the menstrual disorder may be the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Undiagnosed hormone imbalances such as polycystic ovary syndrome<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Problems with diabetes and high cholesterol<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Issues with their thyroid or ovaries that may require hormonal treatment<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Low levels of estrogen from vigorous exercise (athletic amenorrhea)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Low estrogen levels due to eating problems and low weight<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Rapid weight gain<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Chron\u2019s disease<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sickle cell disease<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Lupus<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Celiac disease<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Cystic fibrosis<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Congenital problems of the reproductive tract<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Using certain medications<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Birth control pills and other contraceptives<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">In some cases, chromosomal or genetic disorders such as Sawyer and Turner syndrome may also lead to late menstruation<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Therefore, it\u2019s evident that in most cases, hormonal problems cause the absence of menstruation. More precisely, the lack of estrogen is usually the main culprit behind menstrual disorders. Often, the lack of the hormone can lead to insufficient calcium absorption, which is essential for building strong bones, which may cause further complications in later years, especially if teen girls fail to develop the right amount of bone density.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Because of this, teen girls must be the right weight for their build, intake enough vitamin D and calcium, don\u2019t overtrain and undereat, and have enough estrogen to build healthy bones.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Regarding amenorrhea symptoms, it\u2019s apparent that the absence of menstruation itself is the main sign of the condition. Still, depending on what causes the problem in the first place, teenage girls may produce other amenorrhea symptoms as well, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Acne<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The growth of excess hair<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Pain<\/span><\/li>\n<\/ul>\n<h2><b>Diagnosing and Treating Primary Amenorrhea<\/b><\/h2>\n<p><span style=\"font-weight: 400\">When scheduling an appointment at the doctor\u2019s for menstrual problems, the doctor will mainly perform a physical exam and will ask a series of questions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Depending on the case, the doctor may also order a pregnancy test. However, if pregnancy is out of the question, the professional may order more tests to determine the underlying cause of the absence of menstruation. These tests may include the following:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Ultrasounds: <\/b><span style=\"font-weight: 400\">These are imaging tests that use high-frequency sound waves to help create detailed pictures inside the body. With the help of ultrasound, doctors can better examine various organs, like the uterus and ovaries, and check for abnormalities.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Blood tests <\/b><span style=\"font-weight: 400\">will allow the healthcare provider to closely examine hormone levels, especially follicle-stimulating hormone, luteinizing hormone, prolactin, and all other hormonal compounds related to periods. By taking a closer look at the levels of these hormones, doctors can rule out the causes of amenorrhea.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>CT scans: <\/b><span style=\"font-weight: 400\">These are also imaging tests that use rotating X-ray machines and computers to create a series of cross-sectional images of the human body, allowing experts to look for any irregularities in the organs and glands.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">As mentioned above, the healthcare provider will ask a series of questions about health issues and lifestyle habits, weight loss, and gain patterns. They might also ask questions regarding medications, possible eating disorders, excessive hair growth, acne, and a family history of problems with amenorrhea. Naturally, they will also ask whether the teen girl is sexually active.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">All in all, the healthcare expert might ask the following questions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">When have you entered puberty and started to develop breasts?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Have you ever experienced vaginal bleeding?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Did you ever have your period?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Have you lost or gained a significant amount of weight lately?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Are you stressed or feeling depressed?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Has anybody raised concerns about your eating habits?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">How much do your exercise?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Do you exercise profusely to maintain your current weight?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Do you gain weight easily?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Do you have issues with excessive hair growth?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Are you sexually active? If yes, do you use contraception?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If you take any medications, what are they?\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">The treatment for primary amenorrhea will mostly depend on the underlying causes. Still, most issues that lead to the absence of menstruation can be easily treated with a few lifestyle changes and medication. It\u2019s essential that both the young lady and their parents understand the importance of the impact of what\u2019s causing these problems and address them proactively and healthily. For instance, effectively addressing the issues of eating disorders and excessive exercise may take a bit longer, and the necessary lifestyle changes might be mentally demanding on the patient. In the long run, overtraining and eating disorders can cause <\/span><a href=\"https:\/\/www.nationaleatingdisorders.org\/health-consequences\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">even more problems<\/span><\/a><span style=\"font-weight: 400\"> if left untreated.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Also, depending on what causes the problem, the doctor may suggest watchful waiting to see whether the problem resolves on its own, i.e., the menstrual cycle is simply delayed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In the case of secondary amenorrhea, medical treatments like birth control, hormonal replacement therapy, and drugs to treat polycystic ovary syndrome may help restore the menstrual cycle.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In cases of both secondary and primary amenorrhea, doctors may even recommend surgery, most likely to treat endocrine issues, congenital anomalies, or other health issues.\u00a0<\/span><\/p>\n<h2><b>Compassionate Exerts Who Understand<\/b><\/h2>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-1999\" src=\"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand.jpg\" alt=\"Sanitary Menstruation Pad for Woman Menstrual Period\" width=\"1000\" height=\"667\" srcset=\"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand-200x133.jpg 200w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand-300x200.jpg 300w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand-400x267.jpg 400w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand-600x400.jpg 600w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand-768x512.jpg 768w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand-800x534.jpg 800w, https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-content\/uploads\/sites\/32\/2023\/02\/Compassionate-Exerts-Who-Understand.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">No matter the underlying cause, menstrual disorders can be incredibly stressful in a young lady\u2019s life. As such, it\u2019s vital to find a team of caring medical specialists who can help the teen effectively navigate the treatment process, avoiding even more unnecessary stress and anxiety.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We deeply understand all the concerns of these young girls and aim to provide them with expert services, stellar patient education, and compassionate care. Feel free to schedule an appointment with us if you have any concerns.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Amenorrhea can be simply defined as the absence of menstruation in women. Typically, there are two types of the condition, namely: Primary amenorrhea is the absence of menstruation in teen girls who haven\u2019t got their period even having reached the age, or in other cases, after three years of starting breast development. Secondary amenorrhea occurs<\/p>\n","protected":false},"author":3,"featured_media":1997,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[40],"tags":[421,419,420,422],"class_list":["post-1996","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-menstrual-disorders","tag-absence-of-menstruation","tag-amenorrhea","tag-amenorrhea-symptoms","tag-primary-amenorrhea"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/posts\/1996","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/comments?post=1996"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/posts\/1996\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/media\/1997"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/media?parent=1996"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/categories?post=1996"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.toplinemd.com\/worldwide-pediatrics\/wp-json\/wp\/v2\/tags?post=1996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}