A Rare Cause of Primary Amenorrhea in Adolescence: A Case Report

Primary amenorrhea is the absence of menses at age 15 with secondary sexual characteristics or at age 13 without any secondary sexual characteristics. Evaluation for primary amenorrhea should also be considered when menarche has not occurred within three years of thelarche, or five years after thelarche if it began before the age of 10. We report a rare case of a 15-year-old adolescent with primary amenorrhea who was diagnosed with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. The diagnosis was established through magnetic resonance imaging. The patient is currently undergoing multidisciplinary follow-up, including psychological support. At present, the use of vaginal dilators or surgical intervention is being considered as the most appropriate therapeutic approach.

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Publication Details

Journal
Cureus
Published
2025-08-10
DOI
https://doi.org/10.7759/cureus.89760
Primary Topic
Sexual Differentiation and Disorders
Type
article
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article

A Rare Cause of Primary Amenorrhea in Adolescence: A Case Report

Rafael Barrera Salgueiro, Rita S. Oliveira, Lara Torres, Alexandra Magna Rodrigues et al.
1 links
Cureus
Sexual Differentiation and Disorders
article

A Rare Cause of Primary Amenorrhea in Adolescence: A Case Report

Rafael Barrera Salgueiro, Rita S. Oliveira, Lara Torres, Alexandra Magna Rodrigues, Isabel González
article en

Abstract

Primary amenorrhea is the absence of menses at age 15 with secondary sexual characteristics or at age 13 without any secondary sexual characteristics. Evaluation for primary amenorrhea should also be considered when menarche has not occurred within three years of thelarche, or five years after thelarche if it began before the age of 10. We report a rare case of a 15-year-old adolescent with primary amenorrhea who was diagnosed with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. The diagnosis was established through magnetic resonance imaging. The patient is currently undergoing multidisciplinary follow-up, including psychological support. At present, the use of vaginal dilators or surgical intervention is being considered as the most appropriate therapeutic approach.

CureusVol. 17(8)
Universidade Politécnica da Guarda (PT)
Zero hunger
Openalex Percentile: Top 81%
Sexual Differentiation and Disorders
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A Rare Cause of Primary Amenorrhea in Adolescence: A Case Report — Rafael Barrera Salgueiro, Rita S. Oliveira, et al. · Cureus (2025) | TGRS Research Map | TGRS