Primary Amenorrhea Due to Developmental Defects in Adolescent Girls in Faisalabad

Primary Amenorrhea in Adolescent Girls

Abstract

Understanding the frequency of developmental defects in adolescents presenting with primary amenorrhea is crucial for timely diagnosis and intervention, in order to preserve reproductive potential, and address psychosocial impacts. Objective: To determine the frequency of developmental defects in adolescent girls presenting with primary amenorrhea. Methods: This cross-sectional study was conducted from March 2021 to September 2021 after taking approval from ethical review committee of Faisalabad Medical University. 205 girls having primary amenorrhea were recruited from Obstetrics and Gynecology Department, Allied Hospital, Faisalabad. Non-probability consecutive sampling technique was used. After taking history and physical examination, patients were sent to the hospital Radiology department for transabdominal ultrasound and reported by senior Radiologist. Developmental defects were assessed and noted. Data analysis was done using SPSS version 26.0, quantitative data were presented as mean and standard deviation, while qualitative as frequency and percentages. Results: Frequency of developmental defects in adolescent girls presenting with primary amenorrhea was found in 23 (11.22%) participants; with imperforate hymen in 26.09%, Mayer-Rokitansky-Küster-Hauser syndrome in 21.74%, transverse vaginal septum in 8.70% and absent vaginal functioning uterus in 43.48%. Conclusions: This study concluded that the frequency of developmental defects in adolescent girls presenting with primary amenorrhea is quite high. It was recommended that public awareness programs should be arranged on national levels for women about primary amenorrhea and their causes through educational training and guidance to take proper and timely treatment in order to reduce the morbidity of these particular patients.