Amenorrhea – the absence of menstruation for more than 6 months.
Amenorrhea is divided into primary and secondary.
Primary amenorrhea means that the girl’s menstruation never occurred.
Secondary amenorrhea means that menstruation is absent for 6 months or more, but before they were.
The causes of primary amenorrhea are divided into: anatomically determined, genetic (hereditary) and emotional-psychological. The anatomical factors of primary amenorrhea include general physical retardation, manifested in body features (thinness, underweight, undeveloped chest, narrow pelvis, etc.), as well as abnormalities in the development of the genital organs (clotting of the vaginal or hymen).
A common cause of primary amenorrhea is stress, severe psycho-emotional upheaval, anorexia, and exhausting physical exertion.
Primary amenorrhea is observed in Turner syndrome, a disease characterized by the underdevelopment of the sex glands as a result of the abnormal development of the sex chromosomes.
Causes of secondary amenorrhea can be:
- Polycystic Ovary Syndrome
- Premature menopause)
- Sheehan syndrome
- Asherman syndrome
- Fast weight loss
Common causes can be conditions after severe infectious diseases, severe chronic diseases of the kidneys, liver, cardiovascular system, tuberculosis, endocrine system disease, poisoning with heavy metal salts.
Diagnosis of primary and secondary amenorrhea should be comprehensive, including a thorough history taking, general physical examination, gynecological examination, hormonal examinations, ultrasound examination of the pelvic organs, x-ray examinations, etc.
Treatment depends on the identified pathology.