Sunday Trust - - BEAUTY -

My daugh­ter is seven­teen years old and yet to start men­stru­at­ing. We took her to a doctor early this year and he ad­vised us to watch and wait and that noth­ing wrong. What can we do please?

When a girl has never seen her pe­riod it is called pri­mary amen­or­rhea. If by the age of four­teen the girl has not seen her menses and no sign of se­condary sex­ual char­ac­ter­is­tics like breast devel­op­ment and pu­bic hair devel­op­ment then she should see a Gy­nae­col­o­gist. But if the se­condary sex­ual char­ac­ter­is­tics is well de­vel­oped then one can wait till six­teen years.

Causes of such prob­lem could be me­chan­i­cal , hor­monal or ge­netic is­sues. Ex­am­ple of me­chan­i­cal prob­lem is lack of com­plete com­mu­ni­ca­tion be­tween the uterus and vagina. For ex­am­ple im­per­fo­rate hy­men, the menses will be pro­duced but can’t flow out. In such pa­tients usu­ally there is reg­u­lar, cycli­cal and monthly ab­dom­i­nal pains but no men­stru­a­tion. Care­ful ex­am­i­na­tion may re­veal bulging hy­men and blood col­lec­tion in the uterus at ul­tra­sound scan oth­er­wise called haema­to­col­pos.

Some are due to hor­monal prob­lems like pre­ma­ture ovar­ian fail­ure or go­nadal dys­ge­n­e­sis. Chro­mo­so­mal ab­nor­mal­i­ties is an­other com­mon cause

Since she is al­ready more than six­teen years, kindly let her see a Gy­nae­col­o­gist for proper as­sess­ment and man­age­ment.

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