Primary Amenorrhoea

Definition: Absent menstrual periods by the age of 16 with normal secondary sexual characteristics.

 

Nb: Delayed puberty should be referred to Paediatrics by age 14

 

Information to include in referral to Amenorrhoea and Adolescent Gynae Clinic:

Age, BMI, other illness or medication

Abdominal pain (RED FLAG)

Examination findings: Confirm breast and hair development

                                   Abdominal palpation ?mass

                                   Appearance of vulva if possible

 

Investigations:

FSH/LH, TSH

Prolactin

 Testosterone, SHBG, DHEAS if no mass and/or hirsute

 Pelvic ultrasound scan (transabdominal)