do you recall the yellow stuff?? i do...
Causes of Menstrual Abnormalities - InfertilityPhysician.com... amenorrhea, many people are not aware that abnormalities in the menstrual cycle other than amenorrhea may also ... 2000 Michael D. Birnbaum, MD, PC - All rights ...
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Infertility Glossary - InfertilityPhysician.com... AMENORRHEA - The complete absence of vaginal bleeding for either a minimum of six months or three times that ... 2000 Michael D. Birnbaum, MD, PC - All rights ...
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Causes of Menstrual Abnormalities
It is important to understand that abnormalities of menstruation are a symptom, not a disease. If at all possible, an underlying cause should be searched for and treatment should be directed at the cause.
One of the most common causes of menstrual irregularity is emotional stress. Usually the precipitating factor is easily recognized and unless the problem is significant, no specific therapy of menstrual disturbance is necessary. It has been often stated that a woman's menstrual cycle mirrors her emotions and my clinical experience has more than justified this conclusion.
Further complicating the problem of the woman who is under emotional stress is the fact that, when they either see their family physician or sometimes a psychiatrist, they will be frequently placed on Prozac or drugs similar to Prozac. Any of the "psychiatric" drugs, but especially anti-depressants, may cause elevations in the hormone prolactin.
The "major tranquilizers" - drugs that are used to treat serious mental disturbances - very frequently cause an elevated prolactin level. Drugs of this category include Thorazine, Haldol and other similar medications. Women on these drugs frequently stop menstruating completely.
When a woman is on such a drug and is found to have an elevated prolactin, the question then becomes whether it was the emotional stress that caused her menstrual irregularity or whether it was a secondary effect of the medication that was being used to treat her emotional distress.
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Amenorrhea (Absence of Menstruation). Amenorrhea is the absence of menstruation. There are two categories: primary amenorrhea and secondary amenorrhea. Such terms are used only to describe the timing of menstrual cessation; they do not indicate any cause nor do they suggest any other information.
Primary amenorrhea occurs when a girl does not even start to menstruate. Girls who show no signs of sexual development (breast development and pubic hair) by age 14 should be evaluated. Girls who do not have their periods by two years after sexual development should also be checked. Any girl who does not have her period by age 16 should be evaluated for primary amenorrhea.
Secondary amenorrhea occurs when periods that were previously regular become absent for at least three cycles. [For more details, see the Well-Connected Report # 101, Amenorrhea.]
ABOUT WELL-CONNECTED
Well-Connected reports are written and updated by experienced medical writers and reviewed and edited by the in-house editors and a board of physicians at Harvard Medical School and Massachusetts General Hospital. The reports are distinguished from other information sources available to patients and health care consumers by their quality, detail of information, and currency. These reports are not intended as a substitute for medical professional help or advice but are to be used only as an aid in understanding current medical knowledge. A physician should always be consulted for any health problem or medical condition.
National Women's Health Resource Center, 2425 L Street NW, Washington, DC 20037. Call (202-293-6045) or on the Internet (
http://www.womens-health.com)
National Women's Health Network, 514 10th St. NW, Suite 400, Washington, DC 20004. Call (202-347-1140) or (202 628 7814) for health information. Membership is $25 per year and provides a bimonthly newsletter and access to information. Reports cost $6.00 for members and $8.00 for nonmembers.
American College of Obstetricians and Gynecologists, Resource Center, 409 12th Street SW, Washington, DC 20024. Call (202638-5577) or on the Internet (
http://www.acog.com/)
RESOLVE, Inc., 1310 Broadway, Somerville, MA 02144-1731. Call (617-623-1156) or the National HelpLine (617-623-0744) or on the Internet (
http://www.resolve.org/)
American Society for Reproductive Medicine (Formerly the American Fertility Society), 1209 Montgomery Highway, Birmingham, AL 35216-2809. Call (205-978-5000) or on the Internet (
http://www.asrm.com/current/practice/opinion.html)
The Endometriosis Association, 8585 N. 76th Place, Milwaukee, WI 53223 call (800-992-3636) for a general information packet or (414-355-2200) for specific issues or on the Internet (
http://www.endometriosisassn.org/) This international association provides information, support, and research.
Fertility Research Foundation, 877 Park Avenue, New York, NY 10021. Call (212-744-5500) Offers information on treatment, latest research on male and female infertility.
International Pelvic Pain Society, Women's Medical Plaza, Suite 402, 2006 Brookwood Medical Center Drive Birmingham, Alabama 35209 USA. Call (1-800-624-9676) or (205-877-2950) or on the Internet (
http://www.pelvicpain.org/)
Menopause News, 2074 Union Street, San Francisco, CA 94123 USA. Call (800-241-MENO) or on the Internet (
http://wwwwellcom/user/mnews/)
Other Good Internet Sites for Women's Health ;
(
http://www.womenshealth.org/)
(
http://painnet.com/) This site offers live counseling on pain. It is a sponsored site and not non-profit, but may be helpful.
(
http://www.estronaut.com)
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http://health.allrefer.com/health/secon ... -info.htmlDefinition
Secondary amenorrhea is a condition in which menstruation begins at the appropriate age, but later ceases for 6 or more months in the absence of normal causes such as pregnancy, lactation, or menopause
The incidence of secondary amenorrhea (due to some cause other than pregnancy) is about 4% in the general population
FOUR PERCENT IN GENERAL POPULATION!!!!!!
Overview, Causes, & Risk Factors
Pregnancy is often the first thought when a period is missed, but there are many reasons for having a late period. Increased risk is associated with extreme and prolonged exercise (particularly without adequate conditioning), body fat content less than 15% to 17%, extreme obesity, and taking hormonal supplements.
Anxiety over a possible pregnancy may cause a missed period, thereby increasing the anxiety even further. Emotional distress from other causes can also cause a missed period.
Drugs such as busulfan, chlorambucil, cyclophosphamide, oral contraceptives, phenothiazines, and non-oral contraceptives (such as Norplant and Depo-Provera) can all cause scanty or missed periods. Also, procedures such as a dilation and curettage (D and C) can cause a woman to develop amenorrhea if scar tissue develops within the uterine cavity.
Early appearance of menopause may account for some cases (menopause is normal for women over age 45).
The incidence of secondary amenorrhea (due to some cause other than pregnancy) is about 4% in the general population.