Abstract

LANDAETA E, José E  and  LARA G, Elsa J. Diagnosis and treatment of primary amenorrhea in adolescents: A review of three clinical cases. Salus [online]. 2011, vol.15, n.1, pp.34-37. ISSN 1316-7138.

Primary amenorrhea is the absence of menstruation for tree months from the time of diagnosis; it is a symptom of either a functional or a structural problem, and the cause of consultation at the adolescent gynecology clinic. Amenorrhea can be primary or secondary; the primary type being less frequent than the secondary one, but more difficult to diagnose. For this reason, the physician must be well acquainted with the physiological phenomenon of puberty. Three cases of primary amenorrhea are reported, from different pathologies: Turner Syndrome, Genital Tract Malformation (Vaginal Atresia) and Morris Syndrome (complete insensitivity to androgens). The most important clinical and paraclinical data for the final diagnosis of each of the three cases are discussed, as well as the medical and surgical treatment after the diagnosis. It is concluded that primary amenorrhea during adolescence is not a common disorder in the clinical practice, and that its diagnosis and treatment requires a multidisciplinary approach.

Keywords : Primary Amenorrhea; Vaginal Atresia; Turner Syndrome; Insensitivity to Androgens; Adolescents.

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