what can cause you not to see your period for 6months

Having no menstrual periods is chosen amenorrhea.

Amenorrhea is normal in the following circumstances:

• Earlier puberty

• During pregnancy

• While breastfeeding

• Subsequently menopause

At other times, it may exist the first symptom of a serious disorder.

Amenorrhea may be accompanied by other symptoms, depending on the cause. For example, women may develop masculine characteristics (virilization), such as excess body pilus (hirsutism Hairiness In men, the amount of body hair varies greatly (see also Overview of Pilus Growth), but very few men are concerned enough about excess hair to see a doctor. In women, the amount of hair that... read more ), a deepened voice, and increased muscle size. They may take headaches, vision problems, or a decreased sex drive. They may have difficulty condign meaning.

In most women with amenorrhea, the ovaries do not release an egg. Such women cannot get pregnant.

If amenorrhea lasts a long time, problems similar to those associated with menopause Menopause Menopause is the permanent end of menstrual periods and thus of fertility. For upwardly to several years earlier and just later on menopause, estrogen levels fluctuate widely, periods become irregular... read more than may develop. They include hot flashes, vaginal dryness, decreased os density (osteoporosis Osteoporosis Osteoporosis is a status in which a decrease in the density of basic weakens the basic, making breaks (fractures) likely. Crumbling, estrogen deficiency, low vitamin D or calcium intake, and... read more ), and an increased gamble of heart and blood vessel disorders. Such problems occur considering in women who take amenorrhea, the estrogen level is low.

In that location are two main types of amenorrhea:

• Chief: Menstrual periods never beginning.

• Secondary: Periods start, so stop.

Usually if periods never start, girls do not go through puberty, and thus secondary sexual characteristics, such as breasts and pubic hair, do not develop normally.

If women have been having menstrual periods, which then terminate, they may accept secondary amenorrhea. Secondary amenorrhea is much more mutual than primary.

• The hypothalamus (role of the brain that helps control the pituitary gland)

• The pituitary gland, which produces luteinizing hormone and follicle-stimulating hormone

• The ovaries, which produce estrogen and progesterone

Other hormones, such as thyroid hormones and prolactin (produced by the pituitary gland), can affect the menstrual bicycle.

The about common reason for no menstrual periods in women who are not pregnant or breastfeeding is

• Malfunction of whatsoever part of this hormonal system

When this arrangement malfunctions, the ovaries do non release an egg. The blazon of amenorrhea that results is chosen anovulatory amenorrhea.

Less commonly, the hormonal system is functioning normally, merely some other problem prevents periods from occurring. For example, menstrual haemorrhage may not occur considering the uterus is scarred or because a birth defect, fibroid, or polyp blocks the flow of menstrual blood out of the vagina.

Loftier levels of prolactin, which stimulates the breasts to produce milk, can result in no periods.

Amenorrhea can result from weather that affect the hypothalamus, pituitary gland, ovaries, uterus, neck, or vagina. These conditions include hormonal disorders, birth defects, genetic disorders, and drugs.

Which causes are most common depends on whether amenorrhea is primary or secondary.

The disorders that crusade main amenorrhea are relatively uncommon, merely the most mutual are

• A genetic disorder

Genetic disorders include

• Disorders that event in having a Y chromosome (which usually occurs but in males).

Genetic disorders and birth defects that cause master amenorrhea may not be noticed until puberty. These disorders crusade only primary amenorrhea, not secondary.

Sometimes puberty is delayed in girls who exercise non have a disorder, and normal periods simply brainstorm at a later age. Such delayed puberty may run in families.

The most mutual causes are

• Pregnancy

• Breastfeeding

• Malfunction of the hypothalamus

• Malfunction of the pituitary gland or the thyroid gland

• Use of certain drugs, such as birth command pills (oral contraceptives), antidepressants, or antipsychotic drugs

Pregnancy is the about common crusade of amenorrhea among women of childbearing age.

The hypothalamus may malfunction for several reasons:

• Stress or excessive exercise (equally done by competitive athletes, particularly women who participate in sports that involve maintaining a low body weight)

• Radiation therapy or an injury

The pituitary gland may malfunction because

• Information technology is damaged.

• Levels of prolactin are high.

Antidepressants, antipsychotic drugs, oral contraceptives (sometimes), or certain other drugs can cause prolactin levels to increase, as can pituitary tumors and another disorders.

Less common causes of secondary amenorrhea include chronic disorders (peculiarly of the lungs, digestive tract, claret, kidneys, or liver), some autoimmune disorders, cancer, HIV infection, radiation therapy, head injuries, a hydatidiform mole (overgrowth of tissue from the placenta), Cushing syndrome, and malfunction of the adrenal glands. Scarring of the uterus (usually due to an infection or surgery), polyps, and fibroids can as well cause secondary amenorrhea.

Doctors determine whether amenorrhea is chief or secondary. This information can help them identify the cause.

Certain symptoms are cause for concern:

• Delayed puberty

• Development of masculine characteristics, such as backlog body pilus, a deepened voice, and increased musculus size

• Vision problems

• A significant alter in weight

Girls should see a doc within a few weeks if

• They have no signs of puberty (such as breast development or a growth spurt) by age thirteen.

• Periods have non started by age xv in girls who are growing unremarkably and accept adult secondary sexual characteristics.

Such girls may have chief amenorrhea.

If girls or women of childbearing age have had menstrual periods that have stopped, they should see a doctor if they have

• Missed 3 menstrual periods

• Fewer than ix periods a year

• A sudden modify in the pattern of periods

Such women may have secondary amenorrhea. Doctors always do a pregnancy test when they evaluate women for secondary amenorrhea. Women may wish to do a dwelling house pregnancy test before they see the doc.

Doctors first ask about the medical history, including the menstrual history. Doctors so do a physical examination. What they find during the history and physical test often suggests a cause of amenorrhea and the tests that may need to exist done (meet tabular array Some Causes and Features of Amenorrhea Some Causes and Features of Amenorrhea ).

For the menstrual history, doctors determine whether amenorrhea is main or secondary by asking the girl or woman whether she has ever had a menstrual menses. If she has, she is asked how onetime she was when the periods started and when the last period occurred. She is also asked to describe the periods:

• How long they lasted

• How often they occurred

• Whether they were ever regular

• How heavy they were

• Whether her breasts were tender or she had mood changes related to periods

If a daughter has never had a period, doctors ask

• Whether breasts accept started to develop

• Whether she has had a growth spurt

• Whether pubic and underarm hair (signs of puberty) has appeared

• Whether any other family member has had abnormal periods

This data enables doctors to rule out some causes. Information most delayed puberty and genetic disorders in family members tin help doctors determine whether the cause is a genetic disorder.

Doctors inquire about other symptoms that may suggest a crusade and well-nigh utilise of drugs, exercise, eating habits, and other conditions that can crusade amenorrhea.

During the concrete exam, doctors determine whether secondary sexual characteristics accept developed. A breast exam is done. A pelvic examination is done to determine whether genital organs are developing normally and to check for abnormalities in reproductive organs.

Doctors also check for symptoms that may suggest a cause such equally

• A milky belch from both nipples: Possible causes include pituitary disorders and drugs that increase levels of prolactin (a hormone that stimulates milk product).

• Headaches, hearing loss, and partial loss of vision or double vision: Possible causes include tumors of the pituitary gland or hypothalamus.

• Development of masculine characteristics, such equally excess body hair, a deepened vocalisation, and increased muscle size: Possible causes include polycystic ovary syndrome, tumors that produce male hormones, and use of drugs such as synthetic male person hormones (androgens), antidepressants, or loftier doses of synthetic female person hormones called progestins.

• Hot flashes, vaginal dryness, and nighttime sweats: Possible causes include premature menopause, a disorder that causes the ovaries to malfunction, radiations therapy, and employ of a chemotherapy drug.

• Shakiness (tremors) with weight loss or sluggishness with weight gain: These symptoms suggest a thyroid disorder.

In girls or women of childbearing historic period, the showtime test is

• A pregnancy exam

If pregnancy is ruled out, other tests are washed based on results of the examination and the suspected crusade.

If girls have never had a menstruation (main amenorrhea) and have normal secondary sexual characteristics, testing begins with ultrasonography to check for birth defects that could block menstrual blood from leaving the uterus. If birth defects are unusual or hard to place, magnetic resonance imaging (MRI) may be done.

Tests are unremarkably washed in a certain society, and causes are identified or eliminated in the process. Whether boosted tests are needed and which tests are washed depend on results of the previous tests. Typical tests include

• Claret tests to measure levels of prolactin (to bank check for conditions that crusade high levels), thyroid hormones (to check for thyroid disorders), follicle-stimulating hormone (to check for pituitary or hypothalamus malfunction), and male hormones (to check for disorders that cause masculine characteristics to develop)

• Imaging tests of the abdomen and pelvis using computed tomography (CT), MRI, or ultrasonography to wait for a tumor in the ovaries or adrenal glands

• Examination of chromosomes in a sample of tissue (such as blood) to cheque for genetic disorders

• Use of hormones (estrogen and a progestin or progesterone) to try and trigger menstrual haemorrhage

For hysteroscopy, doctors insert a thin viewing tube through the vagina and cervix to view the interior of the uterus. This procedure can be washed in a medico'southward part or in a hospital as an outpatient procedure.

For hysterosalpingography, ten-rays are taken after a substance that can be seen on 10-rays (a radiopaque contrast agent) is injected through the cervix into the uterus and fallopian tubes. Hysterosalpingography is usually done as an outpatient process in a hospital radiology suite.

If hormones trigger menstrual haemorrhage, the crusade may exist malfunction of the hormonal organization that controls menstrual periods or premature menopause. If hormones practice non trigger haemorrhage, the cause may be a disorder of the uterus or a structural abnormality preventing menstrual blood from flowing out.

If symptoms suggest a specific disorder, tests for that disorder may exist done showtime. For example, if women have headaches and vision problems, MRI of the brain is done to bank check for a pituitary tumor.

When amenorrhea results from another disorder, that disorder is treated if possible. With such handling, menstrual periods sometimes resume. For example, if an aberration is blocking the flow of menstrual blood, information technology is usually surgically repaired, and periods resume. Some disorders, such as Turner syndrome and other genetic disorders, cannot be cured.

If women take a Y chromosome, doctors recommend surgical removal of both ovaries considering having a Y chromosome increases the risk of ovarian germ prison cell cancer Ovarian Cancer . Ovarian germ cell cancer starts in the cells that produce eggs (germ cells) in the ovaries.

If a daughter's periods never started and all examination results are normal, she is examined every 3 to 6 months to check on the progression of puberty. She may be given a progestin and sometimes estrogen to start her periods and to stimulate the development of secondary sexual characteristics, such equally breasts.

Issues associated with amenorrhea may crave treatment, such as

• Treating symptoms and long-term effects of an estrogen deficiency (for case, past taking vitamin D, consuming more calcium in the nutrition or in supplements, or taking drugs, including hormone therapy and drugs that prevent os loss such as bisphosphonates Drugs or denosumab for fractures caused past osteoporosis)

• Various conditions tin disrupt the complex hormonal system that regulates the menstrual cycle, causing menstrual periods to cease.

• Doctors distinguish between primary amenorrhea (periods have never started) and secondary amenorrhea (periods started, and then stopped).

• The start exam is a pregnancy test.

• Unless a woman is pregnant, other testing is usually required to determine the cause of amenorrhea.

• Issues related to amenorrhea (such as a low estrogen level) may also require treatment to prevent later health bug.

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