Diagnóstico y tratamiento de la amenorrea primaria en adolescentes. a propósito

Diagnosis and treatment of primary amenorrhea in adolescents. A review of three clinicalcases.Primary amenorrhea is the absence of menstruation for tree months from the time of diagnosis; it isa symptom of either a functional or a structural problem, and the cause of consultation at theadolescent gynecology clinic. Amenorrhea can be primary or secondary; the primary type beingless frequent than the secondary one, but more difficult to diagnose. For this reason, thephysician must be well acquainted with the physiological phenomenon of puberty. Three cases ofprimary amenorrhea are reported, from different pathologies: Turner Syndrome, Genital TractMalformation (Vaginal Atresia) and Morris Syndrome (complete insensitivity to androgens). Themost important clinical and paraclinical data for the final diagnosis of each of the three cases arediscussed, as well as the medical and surgical treatment after the diagnosis. It is concluded thatprimary amenorrhea during adolescence is not a common disorder in the clinical practice, and thatits diagnosis and treatment requires a multidisciplinary approach.