Amenorrhea - Primary
Alternate Names : Absent Menses, Absent Periods, No Periods, Primary Amenorrhea
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Primary Amenorrhea Prognosis (Expectations)
Overall the outlook is good, depending on the cause of the amenorrhea. If the amenorrhea is caused by one of the following conditions, there is a good possibility of correcting the amenorrhea through medication, lifestyle change, or surgery:
- Normal delay of onset (up to age 14 or 15)
- Drastic weight reduction (resulting from poverty or fad dieting)
- Hypoglycemia
- Extreme obesity
- Hypogonadotropic hypogonadism
- Chronic illness
- Malnutrition
- Congenital heart disease (cyanotic)
- Hyperthyroidism
- Imperforate hymen
- Adrenogenital syndrome
If the amenorrhea is caused by one of the following conditions, it is unlikely that the amenorrhea can be corrected by any intervention:
- Congenital abnormalities of the genital system
- Gonadal dysgenesis
- Turner's syndrome (XO)
- Testicular feminization syndrome
- True hermaphroditism
- Cystic fibrosis
- Craniopharyngioma
- Prader-Willi syndrome
If the amenorrhea cannot be corrected, as long as there is a uterus, it may be possible to create a pseudomenstruation with medications to help the young woman feel more like her friends or family.
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