PRIMARY AMENORRHOEA

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	PRIMARY AMENORRHOEA
	*PRIMARY AMENORRHOEA*

PRIMARY AMENORRHOEA

Primary amenorrhoea

Absence of menstruation in a young woman who has reached the puberty, is at least 16 years old and it has never menstruado.

Causes

Usually they are not known.

Like possibilities, they are included:

Congenital abnormalitys, like absence or abnormal formation of feminine organs (vagina, uterus, ovaries).

Intact hymen (the membrane that covers the vaginal opening) that lacks opening to allow the passage of the vaginal flow.

Upheavals (tumors, infections or absence of maturation) of the endocrino system.

Cromosomáticos upheavals.

Emotional problems.

Upheavals of the feeding like obesity, bulimia, nervous anorexy, excessive diets or starvation.

Drug use certain, including which they affect the mind, sedatives and hormones.

Participation in athletic activities of high competition.

Pregnancy like result of maintained sexual relations before the first menstrual period.

Signs and symptoms

Absence of menstrual periods after the puberty.

Most of the young people they begin to menstruar on the 14 years.

Factors of risk

Stress.

The drug use, including:

oral contraceptives

anticancerous medicines

barbiturates

narcotics

medicines with cortisone

clordiazepóxido

reserpina

Prevention

To use only drugs that have been prescribed by the doctor.

To reduce the athletic activities that imply an extreme effort.

To ask for medical treatment to fight any upheaval of importance.

Diagnosis and treatment

Diagnosis

The menstruation absence.

Medical file and physical examination by its doctor.

Buccal laboratory tests as frotis (scraped cells of the interior of the cheeks for its chromosomal study) and analysis of blood to determine hormone levels.

General Measures

If it suffers of stress emotional or it has problems, it consults to its relatives and friends, or looks for specialized advising.

It does not use medicines that alter their humor, their mind, or that is stimulating or sedative.

Medication

His doctor can prescribe a progesterone treatment to him (hormones) to induce the hemorrhages.

If these begin when the progesterone is interrupted, the reproductive system will be working. Also it indicates that a pituitaria disease is not probable.

If the retirement of the progesterone does not induce hemorrhages, they are possible to be used to the same aim stimulating gonados like clomifene or gonadotropina.

Activity

Without restrictions.

Make exercise regularly, but without excess.

Sleep at least 8 hours every night.

Diet

Ingest 3 meals balanced to the day.

Report to its doctor if it thinks that weight exceeds to him.

It does not try to lose it with extreme diets.

It does not drink alcohol.

It does not take vitaminic and mineral supplements unless his doctor prescribes itself.

Complications

Psychological problems motivated by the preoccupation about the sexual development.

If the underlying cause does not have remedy, sterility and impossibility to have children.

Prognosis

The menstruation absence is not a risk for the health.

Usually it is cured with a hormonal treatment, or treating the primary causes.

Most of the doctors they avoid the treatments before the 18 years, unless the cause can be identified and be treated without danger.

In some cases of abnormalitys of the reproductive system, or in the chromosomal defects it does not have solution.

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