Primary amenorrhea digital illustration

Primary amenorrhea Save


ICD-10 code: N91.0

Disease category: N91: Absent, scanty and rare menstruation

Understanding Primary Amenorrhea

Primary amenorrhea is a condition characterized by the absence of menstruation in females who have reached the age of 16, with the absence of secondary sexual characteristics, or by the age of 14, with the presence of secondary sexual characteristics. This condition affects a small percentage of women and can have various underlying causes.

1. Genetic Abnormalities:

  1. Turner Syndrome: This genetic disorder occurs when one of the X chromosomes is missing or partially missing. It can lead to delayed or absent puberty.
  2. Androgen Insensitivity Syndrome: Individuals with this condition have male chromosomes but are insensitive to androgens, resulting in the development of female physical characteristics. However, menstruation does not occur.

2. Hormonal Imbalances:

  1. Hypothalamic or Pituitary Dysfunction: Issues with the hypothalamus or pituitary gland can disrupt the production and regulation of hormones, leading to primary amenorrhea.
  2. Premature Ovarian Failure: This condition occurs when the ovaries stop functioning before the age of 40, leading to a lack of menstruation.

3. Structural Abnormalities:

  1. Mullerian Agenesis: This rare condition is characterized by the absence or underdevelopment of the uterus and vagina, resulting in primary amenorrhea.
  2. Imperforate Hymen: In some cases, the hymen may completely block the vaginal opening, preventing menstrual blood from flowing out.

4. Chronic Illnesses:

  1. Celiac Disease: This autoimmune disorder affects the digestive system and can lead to nutrient deficiencies, which may disrupt normal menstrual cycles.
  2. Cystic Fibrosis: Women with cystic fibrosis may experience delayed puberty or primary amenorrhea due to malnutrition and hormonal imbalances.

Primary amenorrhea can have significant psychological and emotional impacts on affected individuals. It is essential to consult a healthcare professional to determine the underlying cause and explore appropriate management options.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Please consult a healthcare professional for accurate diagnosis and personalized treatment.

Treatment of Primary amenorrhea:

Treatment Options for Primary Amenorrhea

Primary amenorrhea is a condition characterized by the absence of menstruation in females who have reached the age of 16. It can be caused by various factors, including hormonal imbalances, genetic abnormalities, structural issues, or certain medical conditions. While primary amenorrhea can be concerning, there are several treatment options ...

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