Amenorrhea may be accompanied by other symptoms, depending on the cause. For example, women may develop masculine characteristics virilization , such as excess body hair hirsutism , a deepened voice, and increased muscle size. They may have headaches, vision problems, or a decreased sex drive. They may have difficulty becoming pregnant. In most women with amenorrhea, the ovaries do not release an egg. Such women cannot become pregnant. If amenorrhea lasts a long time, problems similar to those associated with menopause may develop. They include hot flashes, vaginal dryness, decreased bone density osteoporosis , and an increased risk of heart and blood vessel disorders. Such problems occur because in women who have amenorrhea, the estrogen level is low. Usually if periods never start, girls do not go through puberty, and thus secondary sexual characteristics, such as breasts and pubic hair, do not develop normally.

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Your hormone system controls your menstrual cycle. The changes in your body including cramps, moodiness, and your period are brought on by changes in the levels of hormones that are circulating through your system. If you experience any big changes in your cycle or in the amount of bleeding or pain or other symptoms that go along with your period, you should talk to a health care provider. Remember, you can still get pregnant if you have unprotected sex while you are menstruating. When you have your period, you need to use something to absorb and dispose of the blood. Pads, tampons, cups, sponges — there are many options available, and they all have their advantages and disadvantages. Many women use more than just one product depending on their activities, their flow, and their comfort level. Most products come with instructions and important information about use. Remember to read these instructions and follow them. Whatever you choose, remember to change or empty it regularly.