Menstruation, suppressed

Christopher Hobbs:

“The menstrual flow can be reduced or stopped due to stress or liver problems.”

Etiologic Factors

1. Hormonal Imbalances:
   • Polycystic ovary syndrome (PCOS)
   • Thyroid disorders (hypothyroidism or hyperthyroidism)
   • Hyperprolactinemia
2. Physiologic Factors:
   • Pregnancy or breastfeeding
   • Menopause (natural or premature)
3. Lifestyle and Stress:
   • Intense physical activity (e.g., athletes)
   • Rapid weight loss or extreme dieting
   • Chronic stress or mental health issues
4. Medical Conditions:
   • Uterine abnormalities (e.g., Asherman’s syndrome)
   • Pituitary gland tumors or dysfunction
   • Eating disorders (e.g., anorexia nervosa)
5. Medications or Treatments:
   • Hormonal contraceptives
   • Chemotherapy or radiation therapy

When to Seek Professional Help

You should consider seeing a healthcare provider if:

1. You’ve missed three or more consecutive periods (and you’re not pregnant or breastfeeding).
2. Your cycles were previously regular but have now become irregular or stopped suddenly.
3. You experience symptoms like severe pelvic pain, abnormal hair growth, unexplained weight gain or loss, or nipple discharge.
4. You suspect a condition like PCOS, thyroid imbalance, or a uterine abnormality.
5. There are concerns about fertility or long-term reproductive health.