HomeAnswersObstetrics and GynecologyinfertilityI have been taking birth control pills since I was 18 and have never experienced menstruation. Why?

What could be the cause of hormonal fluctuations, irregular periods, and reproductive problems?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Deepti Verma

Medically reviewed by

iCliniq medical review team

Published At November 8, 2023
Reviewed AtNovember 8, 2023

Patient's Query

Hello doctor,

I am 21 years old. I have never had periods yet, and I am uncertain about my egg production capabilities. When I was 18 years old, I started taking hormonal birth control to aid my development. Prior to this, I lacked breasts and hips, had a deep voice, and was often mistaken for a man on the phone. Within a year, my breast size increased from an A cup to a D cup, the same as my mother's development at her age. I am questioning whether I might be infertile. I engaged in unprotected sexual intercourse before starting hormonal treatment, yet I did not conceive despite my partner's ejaculation. While on birth control, I have a bleeding episode during the pill-free week, although this is not an authentic period since birth control manipulates the body.

Kindly help.

Answered by Dr. Deepti Verma

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

You seem to have primary amenorrhea (the lack of menstruation during a woman's reproductive years) with an absence of hormone secretion from the ovaries. It implies that you are not able to produce eggs and have infertility. You can conceive using assisted reproductive technology.

I hope I have answered your question. Let me know if I can assist you further.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Deepti Verma
Dr. Deepti Verma

Fetal Medicine

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