Study of Incidence, Causes and Outcome of Management of Primary Amenorrhoea
Journal Title: Indian Obstetrics & Gynaecology - Year 2016, Vol 6, Issue 2
Abstract
Objectives: To determine the incidence, to enlist aetiological factors and outcomes of medical and surgical management of primary amenorrhoea. Materials and Methods: This study was carried out over a period of 19 months from March 2009 to September 2010 in the Department of Obstetrics & Gynaecology, Gandhi Hospital, Secunderabad. All the patients with primary amenorrhoea were included and patients having secondary amenorrhoea were excluded. Detailed history, examination and investigations were recorded on a proforma. Results: Total number of outpatients during the study period was 17,222, out of which, 18 cases of primary amenorrhoea were identified. The incidence of primary amenorrhoea was 0.104 %. The common cause was outflow tract abnormalities and among them, 50% of the cases were due to the absence of uterus, cervix and vagina. Karyotyping was normal in 66.66%. Outcome was good in outflow tract obstruction with cryptomenorrhoea. Conclusion: Primary amenorrhoea is an extremely stressful problem for a young girl and her parents. Most cases need psychological support. With appropriate medical and surgical managements we can establish sexual, menstrual functions and occasionally even reproductive functions.
Authors and Affiliations
Ratnam Andallu, Dr. Sandhya Dixit
Keywords
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