Primary Amenorrhoea

What is Primary Amenorrhoea?

Primary amenorrhea is a condition where a woman does not start menstruating by the age of 16 years. This is in contrast to secondary amenorrhea, which occurs in women who have previously had regular periods that then cease. For diagnosis into primary amenorrhoea, menstrual bleeding should not have occurred for more than 3 months.

Possible Causes of Primary Amenorrhoea:

  • A hormonal imbalance
  • Certain congenital anomalies, such as Turner Syndrome
  • Chromosomal abnormalities
  • A premature menopause
  • Stress
  • Extreme thinness or being underweight
  • Abnormalities in the reproductive organs

Diagnosis of Primary Amenorrhoea:

The doctor will typically carry out a complete physical examination, including obtaining a detailed medical and family history. Blood tests and imaging scans are important components of the diagnostic process, to determine the cause of the amenorrhoea. This may include tests to measure and monitor levels of glucose, testosterone and other hormones. In some cases, further tests may be recommended, such as laparoscopy or hysteroscopy.

Treatment for Primary Amenorrhoea:

Treatment for primary amenorrhoea depends partly on the cause. Treatment for hormonal imbalance involves the use of hormone replacement therapy, diet and lifestyle modifications, and counselling. Surgery may also be required, depending on the underlying condition.