Khaberni - Some women may believe that the absence of menstruation is a passing matter, but experts confirm that menopause during the reproductive years can be a health indicator that requires attention, especially if it continues for a long time without a clear reason.
The German Association of Endocrinology indicates that menopause in women of reproductive age can occur for various reasons, including pregnancy, the use of contraceptive pills, taking certain medications, as well as severe psychological stress or excessive exercise.
Decrease in Estrogen
When menstruation stops, estrogen levels typically drop, which is a key hormone not only regulating menstruation but also playing an important role in maintaining the health of bones, heart, and the psychological state of women.
Health experts warn that a long-term deficiency of estrogen can lead to decreased bone density and increased risk of osteoporosis and fractures, as well as affecting heart and cardiovascular health.
Common causes of menopause
In addition to pregnancy and the use of contraceptives, possible causes of menstrual cessation include:
Severe stress and psychological pressure
Severe weight loss or eating disorders
Excessive exercise
Hormonal disorders such as issues with the pituitary gland or ovaries
Early ovarian failure
Some medical treatments such as chemotherapy or certain hormonal medications
In some cases, menopause results from a disorder in the brain or pituitary gland that controls the hormones responsible for menstruation.
Potential consequences if cessation continues
Specialists confirm that the continuation of menopause without treatment may lead to a number of health problems, including:
Decreased bone density and increased risk of fractures
Higher likelihood of cardiovascular diseases
Psychological effects such as anxiety or mood swings
Fertility issues and difficulty conceiving
Additionally, a deficiency in estrogen can lead to a gradual loss of bone mass, increasing the risk of osteoporosis in the future.
When should you consult a doctor?
The German Association of Endocrinology advises consulting a doctor if menstruation stops for more than three months, especially if accompanied by other symptoms such as severe fatigue, recurring fractures, or significant changes in weight.
In many cases, treatment depends on addressing the underlying cause, and may include hormone therapy or lifestyle adjustments such as improving nutrition, reducing stress, and regulating physical activity.



