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Treatment for Primary amenorrhea
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Fertility & Reproductive Support
Question #11460
45 days ago
100

Treatment for Primary amenorrhea - #11460

Aastha

Treatment for primary amenorrhea . Secondary sexual character developed properly like pubic hairs and breast development. Ultrasound done that shows small size of uterus and ovaries.Please tell me treatment options for the same

Age: 23
Chronic illnesses: No
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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
45 days ago
5

1. Primary amenorrhea at 23 years with small uterus and ovaries on ultrasound suggests a possible hormonal or structural cause.

2. Further evaluation with hormonal profile (FSH, LH, estrogen, prolactin, thyroid hormones) is essential.

3. Treatment often involves hormone therapy (like estrogen + progesterone) to promote uterine growth and regulate cycles.

4. If there is underlying hormonal deficiency (pituitary or ovarian), treatment will be tailored accordingly by an endocrinologist or gynecologist.

5. Fertility aspects can be addressed later with assisted options if required, but timely evaluation is important to protect bone health and overall well-being.

Please consult a gynecologist or reproductive endocrinologist for a personalized treatment plan.

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For primary amenorrhea with normal secondary sexual characteristics, small uterus and ovaries on ultrasound, it’s important to first determine the underlying cause to guide appropriate treatment. In such cases, conditions like Hypothalamic-pituitary axis disorders could be involved. Hormonal evaluations, such as measuring levels of FSH, LH, estrogen, and prolactin, can provide insight into any hormonal imbalances. If a deficiency in estrogen is found, hormonal therapy might be considered to help in developing the uterus and inducing menstruation. This often involves cyclical estrogen and progesterone therapy which simulates the normal menstrual cycle. Additionally, it’s prudent to assess for conditions like Turner Syndrome or other chromosomal abnormalities through a karyotype analysis, especially since underdeveloped reproductive organs are a noted feature. Please engage with an endocrinologist or reproductive specialist who can provide a detailed workup and tailor the treatment to your specific hormonal profile and needs. Don’t ignore the potential impact of lifestyle - proper nutrition and stress management are crucial for optimizing hormonal function. Regular follow-ups are essential to monitor how the therapy affects uterine growth and the overall reproductive system. In any complex case like this, it’s vital to pursue a multidisciplinary approach, potentially involving a gynecologist, endocrinologist, and genetic counselor to address all aspects of your condition effectively.

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