Our expert says:
Certainly the insulin test was done incorrectly and should be strictly fasting insulin level with a minimum fasting interval of 10 hours. There are many reasons for absence of menstruation and these needs to be individually assessed. Common causes include thyroid abnormality as well as hyperprolactinemia (increased prolactin levels). Other causes such as polycystic ovarian syndrome as well premature ovarian failure or premature menopause should be investigated for. Should all these factors be normal then local cause inside the uterus should be investigated.
Answered by: Dr M.I. Cassim
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