Secondary Amenorrhea: More Than Just Missed Periods?
Published: May 22, 2024
Secondary amenorrhea isn't just about missed periods; it can signal underlying health issues that require attention.
Contents
Signs of Secondary Amenorrhea
The primary symptom of secondary amenorrhea is the absence of menstrual periods for three months or longer. This can be accompanied by symptoms like weight changes, stress, and hormonal imbalances. Sometimes, women may also experience hot flashes or vaginal dryness.
Underlying Health Concerns
Missed periods can indicate issues like PCOS or thyroid problems. PCOS is often characterized by excess hair growth and weight gain. Thyroid disorders can lead to fatigue and changes in metabolism, further affecting menstrual cycles.

Bone Health Risks
Secondary amenorrhea can lead to bone density loss due to lower estrogen levels. This increases the risk of osteoporosis, making it crucial to address menstrual irregularities promptly. Ensuring adequate calcium and vitamin D intake can help mitigate these risks.
Frequently Asked Questions
It's the absence of periods for three months or more in previously menstruating women.
Yes, it can lead to decreased bone density and increase osteoporosis risk.
Yes, weight gain is a common symptom of PCOS.
The Bottom Line
Addressing secondary amenorrhea involves looking beyond missed periods to uncover underlying health issues.
References
- Gordon CM. Clinical practice. Functional hypothalamic amenorrhea. N Engl J Med 2010; 363:365.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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