It has to do with hormones.
medical director for women’s health at Kaiser Permanente in Washington. But here's the gist of what’s happening in the body: “We presume there is some suppression in the functioning of the hypothalamus and pituitary gland in the brain [when you’re stressed],” Greene says. “These glands work in tandem to control our endocrine system that includes the ovaries and adrenal glands.” This then influences your ovarian hormone function and ovulation, or the releasing of the egg, he explains.
“By taking a careful history, physical exam, and specified lab work, we can rule out several causes,” he says. “If no abnormalities are found, and the history fits, we could determine that stress is the issue. Because many possible causes are treatable, it’s best to not assume it's a stress reaction on your own.”
Still, you might be hesitant to book an appointment at the first sign of change in your cycle. But Jacobson says if you’re late for three months or more, you should definitely look to the experts. At that point, the lack of menstruation is classified as amenorrhea, which can be caused by stress — hormonal changes, low body weight, medication, or other even more serious factors. Of course, that’s if you’ve already ruled out pregnancy, breast-feeding, and menopause as the cause for delay.
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