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Primary Amenorrhea

 

Primary amenorrhea is absence of menarche (beginning of menstruation) in girls of 16 years or more.

Causes

  • Closed cervix
  • Blocked vagina
  • Hypothalamic disorder
  • Pituitary disorder
  • Abnormal or absent reproductive organs
  • Ovarian abnormalities
  • Certain congenital diseases
  • Certain chronic diseases
  • Turner’s syndrome
  • Excessive exercise
  • Sudden weight loss
  • Obesity
  • Anorexia
  • Bulimia
  • Stress
  • Malnutrition

Symptoms

  • No menstrual bleeding

Treatment
Treatment varies according to the cause. It may include:

  • Hormone treatment
  • Medication
  • Surgery
  • Lifestyle changes