Amenorrhoea
Amenorrhoea means the absence of menstrual periods - either periods never starting by age 16, or periods stopping for three or more months in someone who previously had regular cycles. It has many possible causes, several of them hormonal.
Possible causes
- polycystic ovary syndrome (PCOS);
- significant weight loss, excessive exercise, or low body weight;
- high prolactin levels or thyroid disorders.
What we offer
- a thorough, sensitive discussion of your cycle history and symptoms;
- same-day blood tests to check relevant hormones;
- a clear explanation of the likely cause and treatment options.
Assessment and possible causes
Pregnancy must be considered first when periods stop unexpectedly. Other causes include PCOS, thyroid or prolactin disorders, low energy availability, significant weight change, intensive exercise, stress, menopause, medicines and conditions affecting the ovaries, pituitary or hypothalamus. Assessment uses menstrual and reproductive history, symptoms, medicines and targeted blood tests.
Bone health and fertility
Prolonged low oestrogen can affect bone health, while the underlying cause may also influence fertility. Treatment therefore considers cycle restoration or protection, nutrition, bone risk, pregnancy goals and whether gynaecology or fertility input is needed.
UK-wide video consultations
History and most hormone-result reviews can take place securely by video. Pregnancy assessment, examination, imaging and urgent care are arranged locally. Severe headache with visual change or neurological symptoms requires urgent assessment.