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Absent menstrual periods - secondary Absence of a woman's monthly menstrual period is called amenorrhea. Secondary amenorrhea is when a woman who has been having normal menstrual cycles stops getting her periods for 6 months or longer. Causes: Secondary amenorrhea can occur due to natural changes in the body. For example, the most common cause of secondary amenorrhea is pregnancy. Breastfeeding and menopause are also common, but natural causes. Women who take birth control pills or who receive hormone shots such as Depo-Provera may not have any monthly bleeding. When they stop taking these hormones, their periods may not return for more than 6 months. You are more likely to have absent periods if you: Are obese. Exercise too much and for long periods of time. Have very low body fat (less than 15% to 17%). Have severe anxiety or emotional distress. Lose a lot of weight suddenly (for example, from strict or extreme diets or after gastric bypass surgery). Other causes include: Brain (pituitary) tumors. Drugs for cancer treatment. Medicines to treat schizophrenia or psychosis. Overactive thyroid gland. Polycystic ovarian syndrome. Reduced function of the ovaries. Also, procedures such as a dilation and curettage (D and C) can cause scar tissue to form. This tissue may cause a woman to stop menstruating. This is called Asherman syndrome. Scarring may also be caused by some severe pelvic infections.