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Teenbiznik is a public service web site that provides information and help to teenagers, particularly concerning health issues.

ESPECIALLY FOR GIRLS!

Have you missed three to six cycles in a row?

You should be concerned and see your doctor.
Here is why.

You may have a condition called "AMENORRHEA"
that can lead to serious health problems
if left untreated.

For example, amenorrhea can lead to premature osteoporosis, or serious loss of bone mass. So it is important to see your doctor if you experience a long time without having menstrual periods.

Below we provide some brief medical literature on the subject. You can also click on the link below for more information. From the home page, you should click on "health" and use the search function using the word "amenorrhea" to see more information on the subject.

www.healthevolution.com

Treatment of Amenorrhea

So far, with rare exceptions, no women are found who enjoy having menstrual periods. However, the complete lack of a menstrual period -- amenorrhea -- can be a symptom of a serious problem. Therefore, it must be fully investigated.
What is important is to find out why you are not having periods.

It is now well established that women with irregular menses have decreased bone mass compared to women with normal cycles. A decreased bone mass in a young woman translates into osteoporosis in older life. Therefore, treatment may be initiated, not to make the woman bleed but to prevent more serious problems later.

What is Amenorrhea?

Physiologic amenorrhea, or the cessation of menstrual periods, normally occurs in pregnancy, lactation, adolescence, and menopause. Pathologic amenorrhea may be caused by endocrine disorders such as dysfunction of the hypothalamus, pituitary, ovary, thyroid or adrenal glands. Metabolic and psychogenic causes include malnutriton, obesity, chronic stress, drug addiction, diabetes, anorexia nervosa and anemia.

Removal of the underlying cause will usually result in the resumption of normal periods. If hormone deficiencies are found, substitutional therapy is recommended.

A shift in body composition or weight loss as in anorexia nervosa, ballet dancers, long-distance runners or malnutrition can cause amenorrhea. There seems to be a body fat threshold for the maintenance of normal cycles that is in the neighborhood of 18%. In many of these cases, if the patient gains weight normal cycles will resume. In obesity, weight loss and the concomitant decrease in stress on the body will enable a resumption of normal function. Amenorrhea may also result from psychogenic causes such as depression or chronic emotional stress.

The Role of the Hypothalamus

Anterior pituitary functions are controlled by the region of the brain called the hypothalamus via the secretion of releasing and inhibiting factors. Specialized neurons in the hypothalamus, controlled by feedback and other communication methods release factors that cause the release of hormones from the anterior pituitary. The pituitary trophic hormones then control the release of other hormones from a target gland. With the exception of prolactin, release promoting factors are more important to the release of pituitary hormones.

Even though failure of ovulation is the cause of DUB in most women, the ovary itself is rarely the primary offending organ. The ovary is not working properly to produce an egg each month either because it is not being properly instructed to do so by the pituitary hormones or because other problems are interfering with the ovary's ability to respond to the controlling pituitary hormones.



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