A clinical study of primary amenorrhea

Abstract

Introduction: Menstruation is the physical herald to physiologic capacity of conception. Attainment of menarche in a girl brings in a lot of conidence and feminism in a girl. Though the incidence of primary amenorrhea is less than 1%, it accounts for signiicant amount of psychological trauma. In the present day scenario, there are a lot of investigative and treatment modalities which can at least restore her menstrual functions, if not reproductive, and prevent complications. Aims: The objective of this study is to note the various causes of primary amenorrhea and the complete clinical picture and the management done in a tertiary care center like Vanivilas Hospital and Bowring Hospital, Bengaluru. Materials and methods: This is a prospective study done in 40 patients of primary amenorrhea presenting to Vanivilas Hospital and Bowring and Lady Curzon Hospital, Bengaluru during a 2 years period. They were investigated and managed. The patients were followed up for their response to treatment. Results: Out of the 40 patients studied, Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome (32.5%) and hypergonadotropic hypogonadism (32.5%) were most common. Cryptomenorrhea (17.5%), automatic identiication system (AIS) (7.5%) and miscellaneous (4%) were found. Conclusion: Evidence of primary amenorrhea is less than 1%. A detailed investigation may lead to treatment in many cases.