Menstruation is a natural process in the body of people with female reproductive capacity. However, there are situations in which the absence of a period, also known as amenorrhea, can cause concern. Why isn't my period coming off? Below, we will explore the top 15 reasons that may be behind this situation.
Physical reasons
1. Pregnancy
One of the first reasons that must be ruled out for the absence of menstruation is pregnancy. If there is a possibility of having had unprotected sexual relations, it is crucial to perform a pregnancy test to confirm or rule out this option.
2. Polycystic ovary syndrome (PCOS)
PCOS is a common endocrine disorder that can cause hormonal imbalances and lead to a lack of ovulation, which in turn can lead to a lack of menstruation. The presence of other symptoms such as weight gain, acne or facial hair may indicate the presence of this syndrome.
3. Thyroid disorders
Dysfunctions in the thyroid gland, whether hypothyroidism or hyperthyroidism, can alter the menstrual cycle and cause amenorrhea. It is important to perform laboratory tests to evaluate thyroid function in case of absence of menstruation.
4. Extreme body weight
Both extreme thinness and being overweight can affect the menstrual cycle. In cases of low weight, a lack of body fat can interfere with the production of hormones necessary for ovulation. On the other hand, excess weight can also deregulate the menstrual cycle due to hormonal imbalances.
5. Intense physical exercise
Practicing intense physical exercise, especially in high-performance athletes, can have an impact on the menstrual cycle. The physical stress to which the body is subjected can interfere with the release of hormones necessary for ovulation, resulting in the absence of menstruation.
Psychological and emotional reasons
6 . Chronic Stress
Chronic stress can trigger a response from the body known as "stress amenorrhea". High levels of stress can interfere with the functioning of the hypothalamic-pituitary-ovarian axis, affecting ovulation and, therefore, menstruation.
7. Eating disorders
Eating disorders such as anorexia or bulimia can cause interruption of the menstrual cycle. Lack of essential nutrients and alteration in body fat levels can affect the production of sex hormones, resulting in amenorrhea.
8. Sudden changes in lifestyle
Making important changes in lifestyle, such as radically modifying diet, changing sleep schedules or facing stressful situations, can impact the menstrual cycle. The body needs some stability to maintain proper hormonal functioning.
Medical conditions and treatments
9. Use of hormonal contraceptives
Some women may experience missed periods when using hormonal contraceptives, especially those that contain only progestin. This situation is common and, in most cases, does not represent a health problem. However, it is important to consult with a health professional if doubts persist.
10. Asherman Syndrome
Asherman syndrome is a rare condition but can cause amenorrhea. It consists of the formation of adhesions or scars in the uterus, generally as a result of previous uterine surgeries, which can interfere with the menstrual cycle.
11. Chronic diseases
Some chronic diseases, such as diabetes, kidney or liver diseases, can influence the menstrual cycle. The control of these conditions and their impact on the hormonal system can contribute to the absence of menstruation.
Other factors to consider
12. Early menopause
In cases of early menopause, the lack of menstruation before the age of 40 may indicate an early depletion of eggs in the ovaries. This condition can have various causes, such as genetic factors or autoimmune diseases.
13. Medications
Some drugs, such as those used in cancer treatments or certain psychotropic medications, can cause amenorrhea as a side effect. It is important to inform the doctor about any changes in menstruation when starting a new treatment.
14. Alcohol and tobacco consumption
Excessive alcohol and tobacco consumption can interfere with hormonal balance and affect the menstrual cycle. Reducing or eliminating these habits can be beneficial for both menstrual and general health.
15. Unknown causes
In some cases, the absence of menstruation may be due to unknown causes. If all medical tests do not yield a clear diagnosis and amenorrhea persists, it is essential to continue investigating with the support of health professionals specialized in reproductive health.
Given concerns about lack of periods, it is crucial Consult with a gynecologist or a reproductive health specialist. Identifying the cause of amenorrhea is the first step in addressing any underlying issues and ensuring menstrual and reproductive health.