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Primary and Secondary Amenorrhoea in Adolescence and Puberty
Amenorrhoea
A complex hormonal system regulates menstruation and the female menstrual cycle; however, if any malfunction within this system occurs such as within the hypothalamus, pituitary, ovaries, adrenal glands and thyroid gland then Amenorrhoea can occur.
Primary Amenorrhoea Causes
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Defects within the uterus or fallopian tubes from birth.
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Disorders of developments (chromosomal) such as Turner’s syndrome where a cell only contains one X chromosome instead of two)
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Other genetic disorders affecting the female sexual development.
Secondary Amenorrhoea
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Polycystic ovary syndrome.
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Hydatidiform mole.
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Asherman’s syndrome.
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Medication such as chemotherapy, anti psychotics, antidepressants, contraceptives and hallucinogenic drugs such as cocaine and opioids. This usually affects women who have already started having periods.
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Stress
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Excessive exercise
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Eating disorders
