Amenorrhea - primary

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Primary amenorrhea

Normal uterine anatomy (cut section)

Overview

Symptoms

Treatment

Prevention

Amenorrhea - primary

Alternative Names:

Primary amenorrhea; No periods; Absent periods; Absent menses

Symptoms:

No menstrual flow

Signs and tests:

Physical examination and medical history
Urine pregnancy test
Progesterone withdrawal
Chromosome analysis
Serum chemistry (serum gonadotropin)
- LH
- FSH
- Prolactin
- TSH
- T3 and T4
Urine chemistry, 17-ketosteroids
Head CT
Head MRI scan
Ultrasound, pelvic region
Laparoscopy

References:

Stenchever A. Comprehensive Gynecology. 4th ed. St. Louis, Mo: Mosby; 2001:1109-1119.

Rakel P, ed. Conn’s Current Therapy 2005. 57th ed. Philadelphia, Pa: WB Saunders; 2005:1291-1293.

Review Date: 5/10/2006
Reviewed By: Melanie N. Smith, M.D., Ph.D., Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

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