Primary Amenorrhoea

    Adan Khan, Kinza Younas, Euan Kevelighan
    Primary amenorrhea is the failure to commence menstruation and can be due to hormonal disturbances or anatomical problems. A normal uterovaginal anatomy and functional HPO axis are essential for menstruation. Investigations should be conducted at age 13 if there are no secondary sexual characteristics, and at age 15 if there are. Early referral is advised if there is suspicion of chromosomal abnormalities, hyperandrogenemia, anatomical issues, or if amenorrhea persists for 5 years after thelarche. A multidisciplinary team approach is crucial to support patients and families with evidence-based knowledge for decision-making, addressing their individual needs for the best outcome.
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