If she's not pregnant then what is it?

My has not had her Menstrual Cycle for the last three months. We had also conducted a pregnancy test which was negative. She continues to complain about stomach pains.

[Keith Downing, MD]

Hello,

There are a handful of conditions that might result in the absence of menstruation.  Women who have amenorrhea (absent menses) should be evaluated for the possibility of a pregnancy (which you have done), have an endocrine panel checked (including a TSH--thyroid hormone-- and prolactin), assessed for the polycystic ovarian syndrome (notable for irregular periods, hyperadrogenism [e.g., hirsutism], and sometimes multiple small ovarian follicles), as well as for premature ovarian failure.  Also, significant physical (such as extreme exercise or weight loss) or emotional stress can alter one's menstrual cycle.  


Make an appt to see your ob/gyn.  A timely evaluation is important.

Best regards,

Dr. Downing