Hypothalamic amenorrhea is a condition in which menstruation stops for several months due to a problem involving the hypothalamus. The hypothalamus is in the center of the brain, controls reproduction, and produces gonadotropin-releasing hormone (GnRH).
Indicators of hypothalamic amenorrhea
Understanding how hormones impact fertility
Sometimes the hypothalamus stops producing GnRH, which reduces the amount of other hormones produced (FSH, LH, and estrogen). This causes ovulation and menstruation to stop, resulting in infertility.
Diagnostic testing for hypothalamic amenorrhea
Diagnosing hypothalamic amenorrhea involves eliminating some of the other possibilities as to why your periods have stopped. For example, your doctor will want to make sure you’re not pregnant or have another disorder that’s causing the problem. Your medical history and a pelvic exam are necessary for diagnosing ovulatory dysfunction, as well as one or more of the following tests:
Treatment for hypothalamic amenorrhea
Treatment will vary depending on the cause. If your doctor suspects your daily routine is the cause of your amenorrhea, they may ask you to make some changes, such as limiting your exercise or gaining weight. If this doesn’t work, your doctor may prescribe hormone or fertility medications to trigger ovulation and menstruation again.