Abstract
Objectives: The basic aim of this study was to evaluate various causes of primary amenorrhea in Kashmiri adolescent females. Methods and material: the study was conducted in a tertiary care hospital on adolescent females with primary amenorrhoea in the age group of 13-19 years. A detailed history was taken and a thorough examination was done to note the secondary sexual characteristics. All cases were subjected to following investigations – haemoglobin, total leukocyte count, differential leukocyte count, erythrocyte sedimentation rate, coagulation profile and hormonal profile. Radiological investigations and karyotyping were done in selected cases. Statistical analysis: Done by descriptive analysis. Results: Eugonadism was the commonest type of primary amenorrhoea and was seen in 68 cases. Imperforate hymen was seen in 28 cases and complete vaginal atresia in 16. Among hypogonadotropic hypogonadism (23 cases) constitutional delay was seen in 15 cases, 8 cases diagnosed as hypogonadotropic hypogonadism was in fact having thyroid dysfunction. 3 cases with hypergonadotropic hypogonadism were seen and all were diagnosed as Turners syndrome. Conclusions: Though mullerian abnormalities are the most common cause of primary amenorrhoea, thyroid dysfunction should be taken as a possibility in evaluating primary amenorrhoea in an iodine deficient belt like Kashmir. Key words: adolescent; primary amenorrhoea; mullarian anomalies. DOI: http://dx.doi.org/10.4038/sljog.v32i3.3983 SLJOG 2010; 32(3): 53-56
Highlights
Gynaecological disorders during childhood and adolescence have gained increasing attention in the western world and in developing countries
Among hypogonadotropic hypogonadism (23 cases) constitutional delay was seen in 15 cases, 8 cases diagnosed as hypogonadotropic hypogonadism was having thyroid dysfunction. 3 cases with hypergonadotropic hypogonadism were seen and all were diagnosed as Turners syndrome
Though mullerian abnormalities are the most common cause of primary amenorrhoea, thyroid dysfunction should be taken as a possibility in evaluating primary amenorrhoea in an iodine deficient belt like Kashmir
Summary
Gynaecological disorders during childhood and adolescence have gained increasing attention in the western world and in developing countries. Menstrual disorders are the commonest gynaecological problem in adolescent girls. These range from amenorrhoea (both primary and secondary) to menorrhagia[2]. Obstructive anomalies of the female reproductive tract preclude the outflow of menstruation and may allow the collection of blood in the uterus and/or vagina and increase the likelihood of retrograde flow. These conditions may result in pelvic masses, endometriosis and/or pain[3]. The American College of Obstetricians and Gynaecologists recommends that young women schedule their first visit to obstetrician/gynecologist between the ages of 13 and 15 years[5]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
