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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.[patient.info] amenorrhea; thus, this syndrome is unlikely if regular menses occurred for a time after menarche.[msdmanuals.com] 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[ncbi.nlm.nih.gov]

  • 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.[nlm.nih.gov] A high thyroid stimulating hormone (TSH) result suggests the primary amenorrhea is due to primary hypothyroidism and should be followed with fT4 analysis.[clinicaladvisor.com] A 16-year-old female with primary amenorrhea was diagnosed with TS based on karyotype 45,XO.[ncbi.nlm.nih.gov]

  • Agenesis of Uterus

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

  • Adrenogenital Syndrome

    The physician notes undeveloped breasts and normal external and internal female genitalia in Tanner I stage of development.[step1.medbullets.com] 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.[journals.lww.com]

  • Kallmann Syndrome

    Untreated adult females almost always experience primary amenorrhea with absent, little or normal breast development.[orpha.net] These females, aged at 20 and 29-year-old, presented primary amenorrhea with prepubertal estradiol and low gonadotropin levels.[ncbi.nlm.nih.gov] 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[rarediseases.about.com]

  • 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[ncbi.nlm.nih.gov] After birth, differential diagnosis should be performed using other forms of abnormal sexual differentiation of primary amenorrhea.[ncbi.nlm.nih.gov] 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.[ncbi.nlm.nih.gov]

  • 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[ghr.nlm.nih.gov] The primary presenting signs and symptoms included primary amenorrhea (71.8%), periodic abdominalgia (41.0%), abdominal pain (36.0%), dyspareunia (10.3%), menstrual disorders[ncbi.nlm.nih.gov] Breast and pubic hair were categorized as Tanner stage 5. The clinical examination of the spine and limbs was normal.[journals.lww.com]

  • Prolactinoma

    If you develop these symptoms, you should think about visiting your doctor to have your prolactin level checked.[empoweryourhealth.org] 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[ncbi.nlm.nih.gov] We present a case of a 32-year-old woman who presented with galactorrhea, amenorrhea, and elevated serum prolactin levels.[ncbi.nlm.nih.gov]

  • 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[endobible.com] She is a 20-year-old tall, eunuchoid female referred for evaluation of primary amenorrhea. Spontaneous thelarche occurred at the age of 15 years.[ncbi.nlm.nih.gov] 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.[ncbi.nlm.nih.gov]

  • Gonadoblastoma

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

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