Evaluating primary amenorrhea in the primary care setting.

Abstract

Abstract: Primary amenorrhea is the absence of menarche by age 15 years. Though not as common as secondary amenorrhea, primary care providers must know how to assess primary amenorrhea. Evaluation includes a thorough health history, physical exam, lab evaluation, and, in some cases, imaging. Primary amenorrhea has three broad causes: genetic, hormonal, and anatomic.