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Published on: 3/5/2025

Could Not Having a Period for 9 Months Indicate Menopause?

Missing your period for 9 months might be a sign you're entering menopause, but it isn’t enough alone to diagnose it.

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Explanation

Menopause is usually diagnosed when a woman has gone 12 consecutive months without a period. If you've gone 9 months without bleeding, it could mean you are in the menopausal transition, known as perimenopause, where your periods can become irregular and longer gaps between them are common. During this transition, you may also notice other symptoms like hot flashes, sleep changes, or mood swings. These hormone changes are part of the natural process of your body preparing for the end of your menstrual cycles. However, if you are much younger than the typical age for menopause, other factors—such as stress, significant weight change, or hormonal imbalances—might cause a long gap between periods. It is important to keep track of any other symptoms you might experience during this time. If your period has stopped for 9 months and you are concerned or experiencing disruptive symptoms, talking with a healthcare provider can help determine if you are beginning menopause or if something else might be affecting your cycle.

(References)

  • Harlow SD, Paramsothy P. Menstruation and the menopausal transition. Obstet Gynecol Clin North Am. 2011 Sep;38(3):595-607. doi: 10.1016/j.ogc.2011.05.010. PMID: 21961722; PMCID: PMC3232023.

  • Su HI, Freeman EW. Hormone changes associated with the menopausal transition. Minerva Ginecol. 2009 Dec;61(6):483-9. PMID: 19942836; PMCID: PMC3823936.

  • Greendale GA, Ishii S, Huang MH, Karlamangla AS. Predicting the timeline to the final menstrual period: the study of women's health across the nation. J Clin Endocrinol Metab. 2013 Apr;98(4):1483-91. doi: 10.1210/jc.2012-3732. Epub 2013 Mar 26. PMID: 23533245; PMCID: PMC3615211.

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