What age should you recommend evaluation for primary amenorrhea?


What age should you recommend evaluation for primary amenorrhea?

Primary amenorrhea is defined as the failure to reach menarche. Evaluation should be undertaken if there are no secondary sex characteristics by 13 years of age, if menarche has not occurred five years after initial breast development, or if the patient is 15 years or older.

What is the first test or imaging modality used to further evaluate primary amenorrhea?

Thyroid-stimulating hormone (TSH), b-HCG, prolactin, follicle-stimulating hormone (FSH), and luteinizing hormone (LH) measurements are always the first line of testing.

What are the criteria required to diagnose an individual with amenorrhea differentiate between primary and secondary amenorrhea?

Definition of primary and secondary amenorrhea In primary amenorrhea, menstrual periods have never begun (by age 16), whereas secondary amenorrhea is defined as the absence of menstrual periods for three consecutive cycles or a time period of more than six months in a woman who was previously menstruating.

What is primary amenorrhoea?

DEFINITION. Primary amenorrhea is defined as the absence of menses at age 15 years in the presence of normal growth and secondary sexual characteristics. The identification of primary amenorrhea should always prompt a thorough evaluation to identify a cause [1].

What are causes of primary amenorrhea?

Primary amenorrhea (failure of menses to occur by age 16) can result from two main causes:

  • Chromosomal or genetic abnormalities can cause the ovaries to stop functioning normally.
  • Problems with the hypothalamus or pituitary gland in the brain can cause an imbalance of hormones that can prevent periods from starting.

What is amenorrhea blood test?

Laboratory examination of a blood sample is useful in the diagnosis of amenorrhea, as it can help to understand any hormonal imbalances that may be associated with the condition. Blood tests can assist in monitoring: Thyroid function: based on level of thyroid stimulating hormone (TSH)

How is primary amenorrhea treated?

In some cases, birth control pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary.

What causes primary amenorrhea?

Common causes of primary amenorrhea include: Chromosomal or genetic problem with the ovaries (the female sex organs that hold the eggs). Hormonal issues stemming from problems with the hypothalamus or the pituitary gland. Structural problem with the reproductive organs, such as missing parts of the reproductive system.

What is primary amenorrhea?

DEFINITION. Primary amenorrhea is defined as the absence of menses at age 15 years in the presence of normal growth and secondary sexual characteristics.

What are the causes of primary amenorrhea?

Polycystic ovary syndrome (PCOS). PCOS causes relatively high and sustained levels of hormones,rather than the fluctuating levels seen in the normal menstrual cycle.

  • Thyroid malfunction.
  • Pituitary tumor.
  • Premature menopause.
  • What does primary amenorrhea mean?

    Primary amenorrhea refers to the absence of menstruation in someone who has not had a period by age 15. The most common causes of primary amenorrhea relate to hormone levels, although anatomical problems also can cause amenorrhea.

    What is the prognosis of amenorrhea?

    The prognosis for amenorrhea depends upon the underlying cause and the type of treatment that is available. For most women, medications, lifestyle changes, or surgery can correct amenorrhea. Amenorrhea has been associated with reduced bone density and increased fracture rates. Vaginal yeast infections are caused by bacteria.

    What are the differential diagnoses for amenorrhea?


  • GnRH receptor deficiency
  • Post-encephalitis
  • Androgen-producing ovarian tumor
  • Androgen-producing adrenal tumor
  • Bilateral agenesis testes (Swyer syndrome)
  • 5-alpha-reductase deficiency
  • 17-alpha-hydroxylase (CYP17) deficiency
  • Androgen insensitivity syndrome