My question is about amenorrhea > My daughter was in horrible bus accident two years ago when the Special Olympics bus she was on collided with a fuel tanker, and rolled off the road. They were in the middle of nowhere wit heavy ice rain that made it impossible to get medical help to the injured for hours. One fourth of her face was "de-gloved" by broken glass and it was six hours before she received medical treatment. She is autistic and her coping skills for this are minimal. She didn't have her period for seven months after the accident. The doctor said it was due to stress from the accident. Then she spontaneously started her period for a few months, then stopped, and hasn't menstruated since with the help of hormones. When she stops taking hormones she reverts to amenorrhea and begins to get facial hair (a moustache and patch of mature chin hairs!) and acne that I'm told is related to the testosterone ratio (estogen reduced). Her general medical doctor says it's too long ago for the amenorrhea to still be related to the accident. That doesn't seem right to me though. What I have stuck in my mind is the reduced-thresholds-for-stress piece that goes with the CISM / PTSD material. My thought is that her threshold for stress is reduced by the accident to a degree that her body can no longer accommodate the stress levels that she could prior to the bus accident. Are we are seeing a continued manifestation of that in the amenorrhea? Is this a possibility? We have to settle the insurance part of the case in year, and if the accident is the catalyst for the hormone problems she continues to have, due to a reduced "buffer" for being able to deal with new stresses, then the company will likely cover her medical expenses related to the amenorrhea assessments and treatments. I would really like to see that if it is indeed related. So, I'm looking for clarification if indeed a trauma could take away (or seriously reduce) a persons ability to deal with stress to such a degree it could result in permanent amenorrhea. It was a slim buffer for her dealing with stress in the first place, now it's even less. Is there anything to this?