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Primary Amenorrhoea

 

Definition: Absent menstrual periods by the age of 16 with normal secondary sexual characteristics.

 

Refer:

Paediatrics - Girls who have no secondary sexual characteristics who have not started menstruating by 13 years of age for ‘Delayed Puberty’.

Paediatric and Adolescent Gynaecology Clinic - Girls with normal secondary sexual characteristics who have not started menstruating by 15 years of age.
 


Information to include:

  • Age
  • BMI
  • Medical history and any Medication
  • Abdominal pain (RED FLAG)
  • Examination findings:
    • Confirm breast and hair development
    • Abdominal palpation ?mass
    • Appearance of vulva if possible


Investigations:

  • FSH/LH, TSH
  • Prolactin
  • Testosterone, SHBG, DHEAS if no mass and/or hirsute
  • Pelvic ultrasound scan (transabdominal)

 

 

References: NICE CKS Ammenorrhoea Revised November 2019

Author: Dr S Burns GP

Contributors: Miss S Bates, Consultant Gynaecologist

Version: 1.2

Date:     December 2020                                Review Date: December 2021