How to deal with primary amenorrhea?

Patient's question:

My daughter is now 16 years old, but she hasn't shown any signs of growth and development yet, and she hasn't even had her period. We are very worried because the other children who play with her have all completed their growth and development smoothly, and only my daughter has shown no signs of activity at all. What should we do about primary amenorrhea?

Doctor's answer:

Your daughter is already 16 years old, and she hasn't experienced any growth or development, nor has her menstruation started. This situation may be considered due to congenital abnormalities in the reproductive system or abnormal endocrine hormones. It is recommended to take her to a Grade III-A hospital's gynecology outpatient department for a thorough examination of six endocrine hormones and a detailed pelvic ultrasound. Once the cause is identified, symptomatic treatment should be administered. If there are any issues, it is important to seek medical attention early, as this could affect her early adulthood.

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