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The lack of menstruation usually begins shortly after beginning the medication and can take up to a year to resume after stopping its use. [41] Hormonal contraceptives that contain only progestogen, like the oral contraceptive Micronor, and especially higher-dose formulations, such as the injectable Depo-Provera , commonly induce this side effect .
In the United States, the age of onset of puberty in girls depends heavily on their racial background. Delayed puberty means the lack of breast development by age 12.8 years for White girls, and by age 12.4 years for Black girls. [7] [8] The lack of menstruation by age 15 in any ethnic background is considered delayed. [8]
The symptoms of hypogonadotrophic hypogonadism, a subtype of hypogonadism, include late, incomplete, or lack of development at puberty, and sometimes short stature or the inability to smell; in females, a lack of breasts and menstrual periods, and in males a lack of sexual development, e.g., facial hair, penis, and testes enlargement, deepening ...
Outside of the reproductive years there is absence of menses during childhood and after menopause. [8] Irregular menstruation is where there is variation in menstrual cycle length of more than approximately 8 days for a woman. The term metrorrhagia is often used for irregular menstruation that occurs between the expected menstrual periods. [9] [10]
Estrogen insensitivity syndrome (EIS), or estrogen resistance, is a form of congenital estrogen deficiency or hypoestrogenism [2] which is caused by a defective estrogen receptor (ER) – specifically, the estrogen receptor alpha (ERα) – that results in an inability of estrogen to mediate its biological effects in the body. [3]
Signs of false pregnancy include amenorrhea (missed periods), galactorrhea (flow of milk from breast), breast enlargement, weight gain, abdominal growth, sensations of fetal movement and contractions, [1] nausea and vomiting, [1] changes in the uterus and cervix, [1] and frequent urination. [3] Abdominal distention is the most common symptom. [2]
[4] [9] However, studies have shown that even during this period, the length of a menstrual cycle does not exceed 45 days. [4] [9] Furthermore, healthy girls with normal BMI (18.5–24.9 kg/m 2) should develop regular menstrual cycles (every 28 +/- 3–5 days) within 1–2 years after menarche.
Pallor is a pale color of the skin that can be caused by illness, emotional shock or stress, stimulant use, or anemia, and is the result of a reduced amount of oxyhaemoglobin and may also be visible as pallor of the conjunctivae of the eyes on physical examination.