The absence of menstruation during pregnancy is a form of physiologic secondary amenorrhea, physiologic in the sense that it is completely normal and is not caused by anything medically harmful (pathologic). Amenorrhea during lactation is another type of physiologic secondary amenorrhea.
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Causes Most girls begin menstruating between ages 9 and 18, with an average around 12 years old. Primary amenorrhea typically occurs when a girl is older than 15, if she has undergone other normal changes that occur during puberty. Primary amenorrhea may occur with or without other signs of puberty. Being born with poorly formed genital or pelvic organs (missing uterus or vagina, vaginal septum, cervical stenosis, or imperforate hymen) can lead to primary amenorrhea. Hormones play a big role in
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Treatment Treatment depends on the cause of the missing period. Primary amenorrhea caused by birth defects may require medications (hormones), surgery, or both. If the amenorrhea is caused by a tumor in the brain ( pituitary tumor ): Medications may shrink certain types of tumors. Surgery to remove the tumor may also be necessary. Radiation therapy is usually only performed when other treatments have not worked. If the condition is caused by a body-wide (systemic) disease, treatment of the dise
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Note : Some citations in the text of this section are followed by a level of evidence . The PDQ editorial boards use a formal ...Behringer K, Breuer K, Reineke T, et al.: Secondary amenorrhea after...
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