Cycle disorders
Absent periods, either primary (periods never started) or secondary (periods have stopped). There is almost always an identifiable cause.
Understanding
Absent periods are common and can happen for many reasons: polycystic ovary syndrome, thyroid imbalance, low body weight, stress, hyperprolactinaemia, or in some cases premature ovarian insufficiency.
A structured workup almost always finds the answer. The plan then focuses on whichever combination of fertility, hormonal health and long-term bone protection is most important to you.
Common symptoms
No periods by the age of 15 (primary amenorrhoea)
Periods that have stopped for three months or longer (secondary amenorrhoea)
Other features: weight change, acne, hair growth or loss, headaches, milk discharge
Diagnosis
Approach
A structured workup, often within one appointment, to identify the cause and shape a clear treatment plan.
Detailed menstrual and lifestyle history
Hormonal blood tests (FSH, LH, oestradiol, prolactin, TSH, testosterone, AMH)
Pelvic ultrasound
MRI of the pituitary gland in selected cases
Treatment
Treatment is built around your symptoms, preferences and any other conditions. Options often combine medication, hormonal treatments and where appropriate, surgery.
Treat the underlying cause (weight, stress, exercise, thyroid imbalance)
Hormonal regulation (combined pill or cyclical progestogen) where appropriate
Treatment of polycystic ovary syndrome (PCOS)
Fertility support where pregnancy is the goal
Hormone replacement when premature ovarian insufficiency is identified
Related procedures
Investigations
Targeted hormone profile and women's health blood work, organised in clinic with results reviewed in a follow-up appointment.
Read more →
Imaging
A detailed scan of the womb, ovaries and pelvic structures, performed and interpreted in clinic by Mr Orabi. Available abdominally, transvaginally, or both.
Read more →
Your consultation
A first appointment is unhurried. We work through your history, your symptoms and your priorities, and where helpful arrange examination, imaging or further tests at the same visit. You leave with a clear plan and time to ask any question you bring.