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145 Possible Causes for Normal Breast Development, Primary Amenorrhea

  • Polycystic Ovary Syndrome

    These hormones help with the development of breasts and are the main controllers of the menstrual cycle.[] amenorrhea; thus, this syndrome is unlikely if regular menses occurred for a time after menarche.[] This is a case report of a 42-year-old woman of African descent who presented to our fertility clinic with a 10-year history of primary subfertility and amenorrhea of 6 years[]

  • Turner Syndrome

    After the age of puberty, unless treated with female hormones, these findings may be present: Pubic hair is often present and normal. Breast development may not occur.[] A high thyroid stimulating hormone (TSH) result suggests the primary amenorrhea is due to primary hypothyroidism and should be followed with fT4 analysis.[] A 16-year-old female with primary amenorrhea was diagnosed with TS based on karyotype 45,XO.[]

  • Agenesis of Uterus

    In case of persistent primary amenorrhea, despite estrogen replacement, this unusual combination should be considered in girls with CHARGE syndrome.[] Women with MRKH have normal ovaries and will have normal development of breasts, clitoris, (part of the vulva) and vulva (external genetalia).[] Patients with pure gonadal dysgenesis/agenesis are often short in stature with primary or secondary amenorrhea.[]

  • Adrenogenital Syndrome

    The physician notes undeveloped breasts and normal external and internal female genitalia in Tanner I stage of development.[] This 27-year-old patient, first evaluated at the age of 18, had a masculine figure, abnormal external genitalia, and primary amenorrhea. Clitoridectomy was performed.[]

  • Kallmann Syndrome

    Untreated adult females almost always experience primary amenorrhea with absent, little or normal breast development.[] These females, aged at 20 and 29-year-old, presented primary amenorrhea with prepubertal estradiol and low gonadotropin levels.[] amenorrhea) simultaneous movement of both hands (called bimanual synkinesis) affects about one-fifth of males with the disorder There are other symptoms that occur less often[]

  • Androgen Insensitivity Syndrome

    The affected individuals are genetic males as shown by 46,XY but present complete female external genitalia and normal breast development at puberty albeit without menstruation[] After birth, differential diagnosis should be performed using other forms of abnormal sexual differentiation of primary amenorrhea.[] History and physical examination findings showed the patient to be 175 cm in height, with normal breast development, and a lack of pubic or axillary hair.[]

  • Vaginal Atresia

    Women with this condition have normal female external genitalia, and they develop breasts and pubic hair normally at puberty; however, they do not begin menstruation by age[] The primary presenting signs and symptoms included primary amenorrhea (71.8%), periodic abdominalgia (41.0%), abdominal pain (36.0%), dyspareunia (10.3%), menstrual disorders[] Breast and pubic hair were categorized as Tanner stage 5. The clinical examination of the spine and limbs was normal.[]

  • Prolactinoma

    If you develop these symptoms, you should think about visiting your doctor to have your prolactin level checked.[] Treatment with a dopamine agonist can be considered as the primary treatment with almost all microadenomas, including patients desiring pregnancy or those with primary amenorrhea[] We present a case of a 32-year-old woman who presented with galactorrhea, amenorrhea, and elevated serum prolactin levels.[]

  • Hypogonadotropic Hypogonadism

    Assess timing of stages of puberty: timing of secondary hair development and rate of change of height in all, breast development and menarche in females, increase in testicular[] She is a 20-year-old tall, eunuchoid female referred for evaluation of primary amenorrhea. Spontaneous thelarche occurred at the age of 15 years.[] The patient was a 19-year-old female who presented the nIHH phenotype with primary amenorrhea, cleft lip and palate, mixed hearing disorders, and skeletal malformations.[]

  • Gonadoblastoma

    Physical examination on admission disclosed a normally developed female with slightly hypoplastic breasts.[] This patient presented with primary amenorrhea.[] Physical examination revealed short stature ( 2.1 SDS), Tanner stage I breast development, normal female external genitalia phenotype.[]

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