Hypothalamic Amenorrhea

PCOS is not the only case of a missing period. Hypothalamic Amenorrhea (HA) can present with many of the same symptoms and is due to problems arising from the hypothalamus. The hypothalamus sits at the base of the brain near the pituitary gland and plays a big role in hormone production and ovulation. 

hypothalamic amenorrhea.jpf

HA is caused by under-eating/disordered eating, excessive exercise and/or high stress. This is what leads to a disruption in the hypothalamic-pituitary-ovarian axis. You do not have to be underweight to experience this. 


Hypothalamic Amenorrhea is diagnosed via FSH, LH and estradiol blood testing. If FSH, LH and estradiol are all low or estradiol is low and there is an elevated FSH in comparison to LH than HA is presumed. However, if LH is elevated in comparison to FSH it is more indicative of PCOS. Your healthcare provider should always rule out PCOS and/or Hypothyroidism first. 


Two Types: Primary and Secondary 


Primary: menstruation has not begun by age 16


Secondary: absence of menstruation for three consecutive cycles or a time period of 6 months in a woman who was previously menstruating 


Common Symptoms: 


Low libido 

Feeling cold often 






For pre-menopausal women, getting a true period (with ovulation) regularly is essential for health. It means you are producing progesterone which is your calming, anti-inflammatory hormone that increases your metabolism, has anti-aging and anti-stress effects, balances other sex hormones and is extremely protective for your bones and heart. 


If you are missing your period, it is time to investigate whats wrong. Book your 1:1 membership with us today to discover your root cause and the steps needed to improve metabolic health in order to get your body ovulating again!