Our expert says:
It is important to establish the underlying cause of the menstrual disturbance. There are several causes of absence of menstruation, which are by enlarged hormonally based. These include abnormalities with pituitary function as well as thyroid hormone imbalance and also factors, which interfere with normal ovulation. There are several syndromes such as polycystic ovarian syndrome, which may involve not only ovulatory dysfunction but include also abnormalities of thyroid and prolactin secretion. In other cases such menstrual abnormalities may be the first indication of impending ovarian failure or the possibilities of even premature menopause occurring. My advice would be to have a through gynaecological evaluation as soon as possible.
Answered by: Dr M.I. Cassim
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