Amenorrhea - primary

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Normal uterine anatomy (cut section)

Primary amenorrhea

Primary amenorrhea; No periods; Absent periods; Absent menses

No menstrual flow

• Physical examination and medical history
• Urine pregnancy test
• Progesterone withdrawal
• Chromosome analysis
• Serum chemistry (serum gonadotropin)
  • LH
  • FSH
  • Prolactin
  • TSH
  • T3 and T4
• Urine chemistry , 17-ketosteroids
• Head CT
• Head MRI scan
• Ultrasound , pelvic region
• Laparoscopy

Review Date: 05/10/2006
Reviewed By: Melanie N. Smith, M.D., Ph.D., Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.