Open AccessPrimary Amenorrhoea - A review of 26 Cases
Author(s) -
Farhat Iqbal,
Iffat Naheed
Publication year - 2016
Publication title -
annals of king edward medical university
Language(s) - English
Resource type - Journals
eISSN - 2079-7192
pISSN - 2079-0694
DOI - 10.21649/akemu.v9i1.1306
Subject(s) - medicine , primary amenorrhea , amenorrhea , hymen , gynecology , menstruation , gynecological examination , uterus , abdominal pain , physical examination , surgery , obstetrics , general surgery , pregnancy , vagina , genetics , biology
This is a study of twenty six subjects who presented to Sir Ganga Ram Hospital, Lahore 1999-2001 and were cases of primary amenorrhoea 20(76.9%) of patient presented between 15-25 years of age. Five (19.2%) had lower abdominal pain. Secondary sex characters were developed in 69.2%. Uterus was absent in 4(15.5%) and ovaries were present in 17(65.5%). FSH was high >40mIU in 12(46.5%) and low <3mIU in 2(7%), 14(53.5%) were put on HRT 1(3.8%) had gonadectomy. 5(19.3%) patients had imperforate hymen, where excision was done. It was concluded that detailed history, through clinical examination and minimal investigations are required to diagnose cases of primary amenorrhoea.