Primary amenorrhea
Disease information
Primary amenorrhea
Primary amenorrhea
.
Absence of
menstruation
in
a
young woman who
has
reached puberty,
has
at least 16 years and
has
never menstruating.
Causes.
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.
barbiturates.
narcotics.
Herbal
Medicinal cortisone.
chlordiazepoxide.
reserpine.
Prevention.
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.
Diagnosis.
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.
Medication.
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.
Activity
.
Without restrictions.
Exercise regularly,
but
without excess.
Drink at least 8 hours
each
night.
Diet.
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.
Complications.
Psychological
problems
motivated by concern about the
sexual
development
.
If the underlying cause
has
no cure,
sterility
and inability to have
children
.
Forecast.
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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