Complications

The causes of amenorrhea can cause other problems as well. These include:

• Infertility and problems with pregnancy. If you don't ovulate and don't have menstrual periods, you can't become pregnant. When hormone imbalance is the cause of amenorrhea, this can also cause miscarriage or other problems with pregnancy.
• Psychological stress. Not having periods when your peers are having theirs can be stressful, especially for young people who are transitioning into adulthood.
• Osteoporosis and cardiovascular disease. These two problems can be caused by not having enough estrogen. Osteoporosis is a weakening of the bones. Cardiovascular disease includes heart attack and problems with the blood vessels and heart muscle.
• Pelvic pain. If an anatomical problem is causing the amenorrhea, it may also cause pain in the pelvic area.