Absent periods

Absent periods (amenorrhoea) is when you don’t get your periods at all. This can be short-term or long-term. If your period is late or has stopped, the first thing to check is whether you might be pregnant.
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Types of absent periods

There are 2 main types of absent periods:

  • Primary amenorrhoea is when your periods haven’t started by about the age of 16, or more than 3 years after your breasts start to develop.
  • Secondary amenorrhoea is when you stop getting your periods for 3 months or more after previously having regular periods.

What causes absent periods?

The most common cause of absent periods is abnormal hormone levels. This may be due to:

It may also be due to:

  • extreme weight loss, dieting or eating disorders
  • excessive exercise
  • anxiety or stress
  • menopause
  • Asherman’s syndrome – a rare condition due to scar tissue in the uterus or on the cervix after surgery or radiation treatment.

Managing absent periods

Depending on the cause, your doctor might recommend:

  • medicines (e.g. hormone medicines)
  • lifestyle changes (e.g. diet and nutrition, stress management)
  • surgery.

If your periods have stopped because of an eating disorder, your doctor can help you get support from a specialist.

For more information about eating disorders, visit the Butterfly Foundation website.

When to see your doctor

See your doctor if you haven’t had your first period by about the age of 16 or if you stop getting your periods for 3 months or more after previously having regular periods.

There are other reasons why you might need to see your doctor about your periods.

It’s helpful to record information about your periods and take it with you to discuss at your appointment. You can record:

  • when you get your periods
  • the length and heaviness of your periods
  • how period pain affects you.

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