Frequency of Primary Amenorrhea and its Management at Tertiary Level Hospital
Objective: The goal of this study was to determine the frequency of primary amenorrhea and to identify etiological factors and outcomes.
Methodology: A descriptive case series study was conducted in Department of Obstetrics and Gynecology (Unit-I) Federal Govt Polyclinic Islamabad. From September 2016 to August 2018. Patients with secondary amenorrhea were excluded in the research, only those with primary amenorrhea were included. All of the data obtained throughout the history, examination, and investigation was entered into Performa. SPSS 10.0 was used to analyze the data.
Results: Total number of patients enrolled in outpatient gynecology was 7854. Twenty one patients presented with primary amenorrhea. The prevalence was 0.27%. Mullerian anomalies were seen in 10 patients (47.6%). The outcome was good in all patients with cryptomenorhea. Premature ovarian failure was seen in 07 patients (33%). Hypothalamic causes were seen in 03 patients (14.3%). 01 patient had polycystic ovarian disease (4.7%). One patient remained undiagnosed.
Conclusion: Primary amenorrhea is stressful condition, must be dealt with great sensitivity. Thoughtful counselling should be provided to all patients and family members. Primary amenorrhea is associated with long-term risks and a decreased quality of life. Fear of exposure to the defect and poor outcome regarding future fertility was a major reason for reluctance to investigation and follow up. Marital issues must be focused on clearly.
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