Menstrual Cramp and Disorder Treatment
Amenorrhoea (absence of periods)
Amenorrhoea simply means an absence of your periods. Doctors usually classify amenorrhoea into primary or secondary amenorrhoea.
Primary amenorrhoea: where your periods have never started and you are at least 16 years old.
Secondary amenorrhoea: where you normally have periods but they have stopped for 6 months or more
When is it normal not to have periods?
It is normal not to have periods:
before you reach puberty;
when you are pregnant;
if you are breastfeeding; and
if you have reached menopause.
Causes of amenorrhoea
Amenorrhoea may be caused by:
- Malfunction of the thyroid gland, the hypothalamus (part of the brain that helps regulate the menstrual cycle) or the pituitary gland;
- Problems with the ovaries;
- Anatomical problems with the uterus, cervix or vagina;
- Delayed puberty;
- Prolonged strenuous exercise;
- Depression and some other forms of mental illness;
- Low body weight;
- Some medicines, including the oral contraceptive pill (it can take 3-6 months to start periods again after stopping the pill), certain antipsychotic medicines and cancer chemotherapies;
- Chronic illness;
- hormonal imbalances such as polycystic ovary syndrome (PCOS); or
Dysmenorrhoea (painful periods)
Dysmenorrhoea means painful periods. Period pain and discomfort are usually most severe for the first day or so of your period.