Amenorrhea is defined as delay or
absence of menstruation in a woman reproductive years. Women who have
a delay or absence of period used to think that they may be pregnant,
in fact, there are many reasons of amenorrhea.
Symptoms
1. No menstrual flow
2. Dry vagina
3. Headache
4. Increased hair growth in a male pattern
5. Voice changes
6. Etc.
Causes
1. Delay due to purity characteristic
Some women may just start to have breast tender at age 16 due to
nutritional deficiency or genetic passing through form generation to
generation causing delay of menstruation.
2. Defects of reproductive system
a) Androgen insensitivity syndrome
The person develops the appearance of a female despite having a
male chromosomal pattern and gonadal production of male hormones.
However, the person does not have a uterus or periods, pubic and
axillary hair are scant, and testosterone levels are high in the male
hormone range.
b) Turner syndrome
A common genetic condition that one of the X chromosomes is missing,resulting in absent menses and failure to develop ovaries.
c) Policystic ovarian syndrome
In some women, the uterus develops but the vagina does not, or a
serum blocking the release of the menstrual blood causing pelvic pain
at regular intervals similar to the expected pattern of menstrual
periods.
3. Hymen problem (lack of an opening in the membrane at the entrance of the vagina)
Hymen is a membrane that surrounds or partially covers the
external vaginal opening. If the membrane is too thick causing
puberty, menstrual blood becomes trapped behind resulting in painful
pelvis and amenorrhea if the collection of blood may become larger
with each month period. Hymenotomy may also be required if the hymen
is particularly thick.
4) Problem with the hypothalamus or pituitary gland
As we know, in order to start a menstrual cycle, the hypothalamus
releases hormones that stimulates the pituitary gland to release
follicle-stimulating hormones and luteinizing hormones. If any steps go
wrong, there is no egg being produced by the follicle causing
amenorrhea.
5. Obesity
Females who are obese often experience amenorrhea as a result of
excess fat cells causing hormone imbalance that interfere with the
process of ovulation.
6. Eating disorder
Females with anorexia nervosa or bulimia nervosa often experience
amenorrhea as a result of maintaining a body weight that would be too
low to sustain a menstrual cycle.
7. Imbalanced diet
Imbalanced diet causes deficiency of certain nutrients and
minerals, such as magnesium deficiency resulting in imbalance of
estrogen and progesterone that interferes with normal processing of
the menstrual cycle.
8. Thyroid diseases
Hyperthyroidism occurs when the thyroid releases too many of its
hormones causing hormone imbalance resulting in too much thyroid
hormone in the bloodstream and over activity of the body's metabolism
causing the absence of menstrual cycles.
The most common cause of hypothyroidism is Hashimoto's
thyroiditis, a disease of the thyroid gland where the body's immune
system attacks the gland causing failure of the pituitary gland to
secrete a hormone to stimulate the production of hormones that needs
to regulate the stage of the menstrual cycle.
9. Malnutrition
Drastic weigh loss may increase the risk of delay or absence of
the menstrual flow. Some researchers believe it is caused by natural
selection as a result of the brain reaction to stop the reductive
organs due to nutritional deficiency.
10. Etc.
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