Primary Amenorrhea and Differences of Sex Development.

Naroji S, Swetha Naroji, Gomez-Lobo V, Veronica Gomez-Lobo, Courtney Finlayson
Seminars in reproductive medicine · 2022 · doi:10.1055/s-0042-1753551 · PMID:35772411 · PMC11145579
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Abstract

Primary amenorrhea may be a feature or a presenting sign of a difference of sex development, most often due to a congenital anatomic difference or hypergonadotropic hypogonadism. History and physical exam are very important, including whether any variation in external genitalia was present at birth as well as a careful review of pubertal development. Further evaluation includes hormone measurement, imaging, and genetic evaluation. Those with a disorder of sexual development diagnosis should receive care through a multidisciplinary team with psychosocial support.

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