I have missed my period for 4 months...what causes...

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Regarding your question

What are the causes of secondary menopause?

Hormonal imbalances
Hormonal imbalance is the most common cause of secondary menopause. Hormonal imbalance can occur as a result of:
Tumors on the pituitary gland
Hyperthyroidism
Low levels of estrogen
High testosterone levels
Hormonal contraception can also contribute to secondary menopause. , Depo-Provera hormonal contraception, and hormonal contraception, may cause menstrual loss. Some medical treatments and drugs, such as chemotherapy and antipsychotics, can also lead to menopause.
Some cases, such as polycystic ovary syndrome (PCOS), can lead to hormonal imbalances that lead to the growth of ovarian cysts. Ovulation bags are benign or non-cancerous lumps that develop in the ovaries.
Scar tissue caused by pelvic infection or multiple scaling and abrasion (D and C) can also cause menopause.
D and C involves expanding the cervix and scraping the endometrium with a spoon-shaped tool called quart. This surgical procedure is often used to remove excess tissue from the uterus. It is also used to diagnose and treat abnormal uterine bleeding.
Lifestyle factors
Body weight can affect menstruation. Women who are overweight or who have less than 15% of body fat may stop getting menstrual periods. This is especially true for athletes who train extensively or excessively.
Emotional stress is another possible cause of secondary menopause. Your body may respond to extreme stress by disrupting your normal menstrual cycle. Often your menstrual periods resume as soon as you work to get rid of your stress and anxiety.

Treatment of secondary menopause

Treatment for secondary menopause varies according to the underlying cause of your condition. Hormonal imbalances can be treated with complementary or synthetic hormones.
Removal of ovarian cysts or scar tissue or adhesions to the uterus causing menstrual loss
Make certain changes in your lifestyle if your exercise routine contributes to your condition
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