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Ask Dr Miriam.

Byline: DR MIRIAM STOPPARD Helping to keep you fit and healthy @MiriamStoppard

Q My periods used to be as regular as clockwork and they've suddenly stopped. I'm only 38. What do you think this could be?

A Because you've menstruated before, you've developed secondary amenorrhoea and the most common cause of that is pregnancy.

Even though it may seem unlikely, you should do a pregnancy test to exclude it.

However, if your hormonal balance is interrupted for any other reason, your periods could stop. For example, stopping the pill can lead to amenorrhea for up to a year and women who breastfeed may not have periods until they stop.

Have you been dieting very strictly? Severe weight loss can also cause amenorrhea.

I know you're only 38 but you may be having a premature menopause, which is becoming more and more common.

You could prove to be be the ideal candidate for a four-month HRT trial, so see your doctor.

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Title Annotation:Features; Opinion Column
Publication:The Mirror (London, England)
Date:Oct 28, 2016
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