Primary amenorrhea

Disease information

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Primary amenorrhea
Primary amenorrhea.

Absence of menstruation in a young woman who has reached puberty, has at least 16 years and has never menstruating.


Often unknown.

As possibilities, including:

Congenital abnormalities, such as the absence or abnormal formation of female organs (vagina, uterus, ovaries)

Hymen intact (the membrane that covers the vaginal opening) that lacks the openness to allow the passage of vaginal discharge.

Disorders (tumors, infections or lack of maturity) of the endocrine system.

Chromosomal disorders.

Emotional problems.

Eating disorders such as obesity, bulimia, anorexia nervosa, excessive or starvation diets.

Use of certain drugs, including those that affect the mind, sedatives and hormones.

Participation in athletic activities of high competition.

Pregnancy resulting from sexual relations held before the first menstrual period.

Signs and symptoms.

Absence of menstrual periods after puberty.

Most young women are starting to menstruate about 14 years.

Risk Factors.

The stress.

The use of drugs, including:

Oral contraceptives.

anticancer drugs.



Herbal Medicinal cortisone.




Use only drugs that have been prescribed by the doctor.

Reduce the athletic activities that involve a disproportionate effort.

Request medical treatment to combat any disruption of importance.

Diagnosis and Treatment.


The absence of menstruation.

Medical history and physical examination by your physician.

Laboratory tests such as buccal swabs (cells scraped from inside the cheeks for study chromosome) and blood tests to determine hormone levels.

General Measures.

If you suffer from stress or emotional problems, consult your family and friends, or find expert advice.

Do not use medications that alter your mood, your mind, or are stimulants or sedatives.


Your doctor may prescribe a treatment of progesterone (hormones) to induce bleeding.

If they start when the progesterone, the reproductive system will be operational. It also suggests that it is a pituitary disease.

If the withdrawal of progesterone does not induce bleeding, you can use the same order as stimulants gonados clomiphene or gonadotrophin.


Without restrictions.

Exercise regularly, but without excess.

Drink at least 8 hours each night.


3 Eat balanced meals a day.

Tell your doctor if you think that excess weight.

Do not try to lose it with extreme dieting.

Do not drink alcohol.

Do not take vitamin and mineral supplements unless your doctor will prescribe.


Psychological problems motivated by concern about the sexual development.

If the underlying cause has no cure, sterility and inability to have children.


The absence of menstruation is not a health risk.

It is usually curable with hormone treatment, or treating the root causes.

Most doctors avoid treatment before age 18, unless the cause can be identified and treated safely.

In some cases of reproductive tract abnormalities, or chromosomal defects has no solution.

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