Amenorrhea is the absence of menstrual periods. It can result from hormonal imbalances that interrupt the menstrual cycle at various points. Causes of primary amenorrhea include hormonal imbalances, psychiatric disorders, eating disorders, malnutrition, rapid weight gain or loss, and certain drugs. Specific causes are polycystic ovary syndrome, thyroid issues, pituitary tumors, and premature menopause, which can interfere with the hormonal regulation of menstruation.