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There are many possible reasons for skipped periods. Most of the reasons do not seriously impact fertility if the cause is treated.
Stress is the most common cause of skipped periods, but this usually only results in a few months of skips at most.
If more than 2 months of skips, we usually start by testing for thyroid dysfunction and elevations in prolactin level.
Those are both 2 common and easy to treat causes of skipped periods. Once the underlying condition is treated, the periods go back to normal and fertility is restored.
Other causes of skipped periods include eating disorders, excessive exercise and various medications.
If a woman also has increased hair growth, the cause may be a condition called polycyctic ovarian syndrome. Often woman with PCOS are also heavy.
It would be rare to have premature menopause as a cause but we sometimes test for that cause too.
So the bot***** *****ne is that if your periods are irregular, we would take more history, do an exam, get some lab work and perhaps an ultrasound. That would help us figure out the cause and come up with a proper treatment plan.
Usually we'd be able to treat and restore fertility.
The only way to help with the worry is for you to get a proper evaluation.
We'd normally do a full evaluation if a woman has had unprotected sex for 1 year, but we start evaluation at 6 months if a woman has irregular period or is over 35.
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