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Consult a health care provider if a girl is 14 years old and her secondary sexual characteristics (for example, breast development and pubic hair) have not started to develop or a girl is 16 years old and has not had her first menstrual period.

For women who have already begun menstruating, they should see a health care provider if they have missed 3 consecutive menstrual periods.

Self-Care at Home
  1. In some women, nutritional deficiencies induced by dieting can cause amenorrhea. Such women should eat a properly balanced diet .
  2. In some women, excessive body weight could be the cause of amenorrhea. These women should restrict the amount of fat in their diet, and they should exercise moderately to maintain an ideal body weight.
  3. More than 8 hours of vigorous exercise a week may cause amenorrhea. A moderate exercise program may restore normal menstruation.
  4. If amenorrhea is caused by emotional stress, finding ways to deal with stress and conflicts may help.
  5. Maintaining a healthy lifestyle by avoiding alcohol consumption and cigarette smoking is also helpful.

Annual follow-up is required for women with amenorrhea caused by ovarian insufficiency. The follow-up is performed to monitor ovarian hormone replacement and to detect the development of associated conditions.


By maintaining a normal weight, girls can prevent primary amenorrhea caused by excessive weight loss or weight gain.


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