Symptoms:

• Previously had one or more menstrual periods
• No menstrual period for 6 months or longer

Other symptoms associated with secondary amenorrhea depend on the cause. They may include:

• Headache
• Galactorrhea
• Considerable weight gain or weight loss
• Vaginal dryness
• Increased hair growth in a "male" pattern (hirsutism)
• Voice changes
• Breast size changes

If amenorrhea is caused by a pituitary tumor, other symptoms related to the tumor such as visual loss, may be present.

Signs and tests:

A physical exam and pelvic exam must be done to rule out pregnancy. A pregnancy test will be done.

Blood tests may be done to check hormone levels. Tests may include:

• Follicle stimulating hormone (FSH level)
• Luteinizing hormone (LH level)
• Prolactin level
• Serum hormone levels such as testosterone levels
• Thyroid stimulating hormone (TSH)

Other tests that may be performed include:

• Endometrial biopsy
• Genetic testing
• MRI of the head
• CT scan of the head

You may be referred to a psychologist if your doctor believes anxiety may be causing the condition.