NO MENSTRUATION YET
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.