There are also diseases that can cause osteoporosis like Turner syndrome, hyperprolactinemia, Klinefelter syndrome, Cushing syndrome, and diabetes mellitus.
One cause is hyperprolactinemia, or excessive prolactin secretion by pituitary lactotroph cells, which is frequently seen with a benign pituitary tumor called a prolactinoma.
Causes of secondary amenorrhea can also cause primary amenorrhea, and they include functional hypothalamic amenorrhea, polycystic ovary syndrome, hyperprolactinemia, premature ovarian failure and Asherman syndrome.