Primary amenorrhoea: analysis of 48 cases

Area of Science:

• Reproductive Endocrinology
• Diagnostic Imaging

Background:

• Primary amenorrhea affects adolescent reproductive health.
• Accurate diagnosis is crucial for management and fertility assessment.

Purpose of the Study:

• To analyze the clinical profile of primary amenorrhea patients.
• To evaluate the utility of transabdominal sonography in diagnosing causes of primary amenorrhea.
• To assess the reproductive potential in these patients.

Main Methods:

• Clinical analysis of 48 primary amenorrhea cases over three years.
• Utilized transabdominal sonography for genital organ visualization.
• Compared sonography findings with established diagnostic methods.

Main Results:

• Mullerian anomalies were observed in 54.2% of patients.
• Hypogonadotropic hypogonadism (22.9%) and hypergonadotropic hypogonadism (16.6%) were also significant findings.
• Genital tuberculosis accounted for 6.3% of cases.

Conclusions:

• Transabdominal sonography is a valuable tool for primary amenorrhea workup.
• Sonography aids in assessing reproductive potential and guides further investigations.
• This imaging modality can potentially render laparoscopy and IVP obsolete in select cases.