Secondary amenorrhea is lack of periods for 6 or more months in a woman who has already started menstruation and who is not pregnant, lactating, or in menopause.
About 4% of women have secondary amenorrhea. There are many reasons for missing a period.
You are at an increased risk of secondary amenorrhea if you engage in extreme and prolonged exercise (particularly without adequate conditioning), have less than 15 - 17% body fat, are obese, or take hormonal supplements.
Anxiety and emotional distress can also cause a missed period.
The following drugs may also cause missed periods:
Busulfan
Chlorambucil
Cyclophosphamide
Phenothiazines
Oral contraceptives
Non-oral contraceptives such as Depo-Provera
Also, procedures such as a dilation and curettage (D and C) can cause a woman to develop amenorrhea if scar tissue develops within the uterine cavity.
Melanie N. Smith, M.D., Ph.D., Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.