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Evaluation and Management of Primary Amenorrhea Abby Delaney, MD HO2 Advisor: Dr. Victoria Maclin, MD February 2, 2011 Disclosure.... ? I have no financial conflicts of interest. ? Our latest investment.

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For primary amenorrhea, hormone therapy, consisting of an estrogen and a progestin, is recommended for women with estrogen deficiency. Girls with primary amenorrhea typically do not have symptoms of estrogen deficiency.

Amenorrhea may be defined as 1) the absence of menstruation for 3 or more months in women with past menses (i.e., secondary amenorrhea) or 2) the absence of menarche by the age of 15 years in girls who have never menstruated (i.e., primary amenorrhea).

Teens should be evaluated for primary amenorrhea if they have not had their period by age 15. Teens also should be evaluated if there is no sign of breast development by age 13. No matter your age, you should be evaluated for amenorrhea if your period stops for more than 3 months without explanation.

Missing a single menstrual period may not be important to assess, but amenorrhea lasting three months or more and oligomenorrhea (fewer than nine menstrual cycles per year or cycle length greater than 35 days) require investigation.

A complete blood cell count, urinalysis, and serum chemistries should be evaluated to help rule out systemic disease. Serum prolactin, FSH, , and thyrotropin levels should also be measured routinely in the initial evaluation of amenorrhea once pregnancy has been excluded.

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.

Diagnosis of patients with amenorrhea and no secondary sexual characteristics is based on laboratory test results and karyotype analysis. The most common cause of hypogonadotropic hypogonadism (low FSH and LH levels) in primary amenorrhea is constitutional delay of growth and puberty.

Amenorrhea can result from a change in function or a problem with some part of the female reproductive system. There are times when you're not supposed to get your period, such as before puberty, during pregnancy and after menopause. If amenorrhea lasts for more than three months, it should be investigated.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232