nobody ever warns you that stress takes over your body
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nobody ever warns you that stress takes over your body
Dr. Steven R. Goldstein MD is a one of the top Gynecologists in NYC and has been in practice for over 25 years. As an expert gynecologist in
It's almost 2024 and I'm still recovering from things that happened to me in 2016... lmao. I'm still trying to process what happened back then too...
Can't even believe that 2014 was almost 10 years ago, what the fuck... time flies. I feel better now but my 20s were really bad and hard, most of the time I was going through hell... I hope that my 30s will be better after I recover fully from my tumor (2 years left). I'm still making content about my prolactinoma, cabergoline side effects and amenorrhea experiences in my 20s and teens... as if I just got diagnosed yesterday lmao. But when I tell those health stories and when I listen to my own stories, I can finally understand how things developed the way that they did with my health and where it all went wrong. My gyno not taking my missing period problem seriously in high school and not offering any real treatment apart from the temporary use of birth control. I'm sorry if it sounds annoying but I am still really traumatized about being diagnosed with a benign brain tumor at just 23 years old... All this shit just because I wasn't getting periods for years... people should really take missing period problems seriously. Taboo or not. I think it's good to talk about it and not suffer in silence. Get things off your chest... I feel like I will never be the same again after the tumor diagnosis eventhough I'm almost recovered and feeling better now. Definitely feel more open to talk about my recovery and healing process now than back in those years in the beginning when I was going through hell after I started cabergoline (2015-2019). Always felt ashamed to share that I had amenorrhea too (between my high school and uni years). Ah the struggles of being a young girl entering adulthood and having mysterious irregular and missing periods that end up being from a tumor on the pituitary gland in the brain... Definitely went through a second puberty after starting to drink cabergoline pills which brought back my periods... I almost felt like I was reborn...
Are you missing on your periods? PCOS causes irregular menstrual cycles or oligomenorrhea due to hormonal imbalance.
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7 Reasons Your Period May Be Late—Other Than Pregnancy
Consider these in addition to a pregnancy test.
Unless you’re trying for a baby, getting your period regularly is both a blessing and a curse. On the one hand, you have to deal with cramps, bloating, and mood swings. On the other, yay, you’re not pregnant! Suddenly missing your period when babies aren’t on the agenda can be a real freak-out moment, but there are a few other factors that may be to blame. Here, ob-gyn Alyssa Dweck, M.D., co-author of V is for Vagina, offers potential reasons your period is late that have nothing to do with a bouncing bundle of joy.
Major Weight Loss or Excessive Exercise “This is a reason I see not that infrequently in my office,” says Dweck. “If your BMI rapidly dips below 18 or 19, you may start to miss periods.” This isn’t strictly based on BMI, though. Serious conditions like anorexia and bulimia can cause missed periods, but so can training for a marathon or some other major event that requires you to exercise more than usual. “Nature has a way of protecting you from getting pregnant if your body is under such extreme stress. Your body prevents ovulation so you don’t have a lot of estrogen, don’t build a big uterine lining, and then don’t get a period,” says Dweck.
Stress A big scary event in your life can cause hypothalamic amenorrhea. “This particular area of the brain, the hypothalamus, is where a lot of the hormones for your period are regulated,” says Dweck. “The hypothalamus is very affected by stress.” So if you’re dealing with a big move, death in the family, huge breakup, or any other life event that’s shaking you up, it could be the cause.
A Thyroid Irregularity The thyroid gland, located in your neck, regulates your metabolism. It also interacts with many other systems in your body to keep things running smoothly. “If you’re dealing with any type of thyroid imbalance, whether it’s hypo- or hyperthyroidism, that can have implications for your period,” says Dweck. If you notice other symptoms of a thyroid disorder, check in with your doctor for an official diagnosis.
Polycystic Ovary Symptom PCOS is a hormone imbalance that comes down to a lack of ovulation, so you have altered levels of estrogen, progesterone, and testosterone. “We’re seeing a lot more of this, although there are varying degrees. It can cause you to completely miss your period or just not menstruate regularly,” says Dweck. Other PCOS symptoms include hair growth in places like the face and chest, difficulty losing weight, and potential fertility issues. Your doctor can help you come up with a treatment plan to manage the condition.
Chronic Diseases Like Celiac “I know celiac disease is on everyone’s mind right now,” says Dweck, referring to the disease that’s characterized by gluten intolerance. “Any chronic disease that’s left untreated or undiagnosed is a stressor to your general system and can result in missed periods.” Think celiac may be the cause of your weird period issues? Here’s how to figure out if you should get tested.
Your Birth Control A missing period can actually be a harmless byproduct of the measures you take to avoid pregnancy. “Some low-dose pills will cause a lack of menses that isn’t dangerous and is many times a welcome side effect,” says Dweck. The same goes for methods like hormonal IUDs, implants, or shots. It can also take some time for your period to come back if you’ve stopped birth control, but it will usually resume without issue in a few months.
Premature Menopause When women under 40 have hormones misfiring in a significant way, they can go through premature menopause, also known as premature ovarian failure. Along with missed periods, signs of it include hot flashes, night sweats, and vaginal dryness. “This isn’t very common, so you shouldn’t immediately worry about it,” says Dweck. If your gyno rules out the many other potential causes and thinks this may be the culprit, she’ll clue you in.
Source: womenshealthmag.com
Hi, I love your blog so much and it is so informant and helpful. Now, I'm 15 and I've never had sex, but I have not had my period in two months. Is this bad or strange? Should I go to a OBGYN? Thanks for your help!
Hi Anon,
We’re so glad you’re enjoying the blog!! You’ll see I just wrote a post about missed periods with some background on why menstruation can get off track…
Your questions reminded me to add that period irregularity can be age dependent. It can take a full-year from one’s first period (menarche) to develop a regular monthly cycle. The average age of menarche in the U.S. is 12 years old. And on the other end of the spectrum, as one is approaching menopause periods will naturally space out and become irregular. The average age of menopause in the U.S. is 51 years old.
Ok, as I mentioned in my other post, if you miss more than ONE period, call your provider. So, I’d say go ahead and make an appointment with your OB/GYN. If nothing else this appointment will ease your mind and build a foundation for a good relationship with your physician.
cheers! Amanda
(Pt.1)I started my period when I was 10 years old and for the first few years it was normal, but then in about my mid teens my periods started getting further and further apart. First a week, then a couple weeks, on to a few months, and so on until now where I haven't had it since October of last year(and the year before that only in October, too). I've been to the doctor(free clinic because my family has never been well off financially or has had good insurance) when I was younger, but they
never found anything wrong with me. I’ve had tests done to check my thyroid and hormone levels(thyroids normal though on the low side, they told me), I’ve had a transvaginal ultrasound to check for ovarian cysts, which came up with nothing and was just extremely uncomfortable, and I tried to have a gynecological exam done but it was too painful for me and couldn’t be finished. I don’t mind all the money and clean underwear saved by not having periods, but I know it isn’t normal that I don’t have them. I know that if I’m not having my period then I’m not ovulating. It wouldn’t be DEVASTATING to me if I can’t have children, but I have thought giving birth someday(whatever way I would. I ID as asexual and have never really been interested in having sex and I don’t really plan to). I was just wondering if you’ve ever heard anything like this? I’m know I should go to a regular clinic to be check out, I just don’t have the money/insurance.
You’re right, you probably should go get this checked out.
It’s possible that while they did not find anything that set off red flags last time you were checked, whatever condition is changing the way that you ovulate has become more serious since then, and it would be clearly identifiable in testing now. This sounds like it could be a thyroid condition or something like PCOS.
Any time that you’re not having a period and you’re not making that happen by using hormonal birth control, your uterus is at risk for endometrial cancer.
The endometrium is the lining of the uterus that normal sheds each month as a period. Estrogen is the hormone that makes it grow. In the normal cycle, estrogen makes it grow for about 2-3 weeks, then progesterone triggers it to start shedding. That’s the period. However, if you’re not having a period, the endometrium is being exposed to estrogen without stopping, and that means it keeps growing and growing, putting it at a much higher risk for endometrial cancer, since cancer happens when there’s unmoderated growth of cells. If you use hormonal birth control there is always progesterone involved to protect the endometrium from this situation.
Go see a practitioner ASAP and get this figured out. There’s definitely a reason why it’s happening, it’s just a matter of playing detective to figure it out.
If there’s no easy/immediate treatment, consider going on a hormonal birth control to protect your uterine lining.
Good luck!
<3
Chloe
I'm 31 years old, and haven't had a period for almost two years (never been pregnant, not pregnant now). I've seen a couple doctors, but they haven't been able to explain this. I haven't been on hormonal BC for over a decade. Is this menopause? What is happening? (Oh, and my BMI is normal -- typically on the upper end of normal, in fact.)
If a couple of doctors can’t tell what’s going on when they had you in their clinics at the mercy of all their tests, it’s likely I can’t give you an answer you haven’t heard before.
Possibilities:
Pregnancy (sounds like you’ve ruled that out)
Functional Hypothalamic Amenorrhea, aka wonky hormones. A decrease in GnRH (gonadotropin releasing hormone) causes a decrease in LH and FSH, two hormones that control the menstrual cycle. This stops it from cycling, and therefore you do not have periods. This can happen because of a low BMI, nutritional deficiency, stress, or stress caused by illness.
A very rare occurrence is a lesion on the hypothalamus which causes the decrease in GnRH described above.
Diabetes
Celiac disease
A pituitary tumor (causes about 20% of all cases of period-less-ness)
Thyroid disease
PCOS
Primary ovarian failure (early menopause) that is caused by disease, surgery, chemotherapy, or smoking
Now, I know I just sound like WebMD right now, listing you all the possibilities from cancer to a cold, but I can’t know what the issue is without extensive testing and examining. However, it would be a great idea for you to find a new provider, bring in this list, and say, “Is it possible that any of these things is causing me not to have a period? If so, how do we tell? If not, how will we test to make sure it’s not an issue?”
Good luck!