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amenorrhea, primary…

 

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primary amenorrhea, normal uterine anatomy, cut section, primary amenorrhea, no periods, absent periods, absent menses, absence of any menstrual flow, woman who has never menstruated by the age of 16, most girls begin menstruating between ages 9, an average around 12 years old, primary amenorrhea is not considered to have occurred, a girl is beyond age 16, has undergone other normal changes that occur, puberty, primary amenorrhea, signs of puberty, many possible causes, primary amenorrhea, drastic weight reduction, from poverty, fad dieting, anorexia nervosa, bulimia, very strenuous exercise, malnutrition, extreme obesity, chronic, long term, illnesses, genital abnormalities present, birth, absence, the uterus, vagina, vaginal septum, cervical stenosis, imperforate hymen, gonadal dysgenesis, hypoglycemia, hypothyroidism, hyperthyroidism, cystic fibrosis, cushing's disease, polycystic ovarian disease, chromosomal abnormalities turner's syndrome, xo, sawyer's syndrome, xy, hypogonadotropic hypogonadism, hyperprolactinemia, testicular feminization, true hermaphroditism, adrenogenital syndrome, congenital heart disease, cyanotic, congenital adrenal hyperplasia, craniopharyngioma, pituitary tumors, ovarian tumors, adrenal tumors, prader-willi syndrome, pregnancy, primary amenorrhea, in the united states occurs in less than 0.1% of girls, physical examination, medical history, urine pregnancy test, progesterone withdrawal, chromosome analysis, serum chemistry, serum gonadotropin, lh, fsh, prolactin, tsh, t3, t4, urine chemistry, 17-ketosteroids, head ct, head mri scan, ultrasound, pelvic region, laparoscopy, treatment depends on the cause, the amenorrhea, primary amenorrhea, developmental abnormalities, the parts, the female reproductive system, did not form properly, birth, require hormonal supplementation, surgery, pituitary tumors, in the brain, bromocriptine, a drug that inhibits the abnormally high prolactin secretion, tumors, surgical removal, necessary, radiation therapy, reserved, situations, medical, surgical treatment regimens, not successful, in any case, counseling, the patient, family, address specific concerns, provide guidance regarding anticipated sexual development, not have other reproductive abnormalities, work up, amenorrhea is delayed, after age 16, systemic disease, allow menstruation to begin, overall the outlook is good, depending on the cause, the amenorrhea, amenorrhea, good possibility of correcting the amenorrhea, lifestyle change, surgery, normal delay of onset, up to age 14, drastic weight reduction, resulting from poverty, fad dieting, hypoglycemia, extreme obesity, hypogonadotropic hypogonadism, chronic illness, malnutrition, congenital heart disease, cyanotic, hyperthyroidism, imperforate hymen, adrenogenital syndrome, amenorrhea, unlikely that the amenorrhea, corrected by any method, congenital abnormalities, the genital system, gonadal dysgenesis, turner's syndrome, xo, testicular feminization syndrome, true hermaphroditism, cystic fibrosis, craniopharyngioma, prader-willi syndrome, amenorrhea cannot be corrected, possible to create a pseudomenstruation, medications to help the young woman feel more, friends, family, emotional distress, crisis, different from friends, family, call health provider, daughter is older than age 16, has not yet begun menstruating.



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