Primary Amenorrhea With Breast Development

Primary amenorrhea is the absence of menstruation by age 16 with secondary sexual characteristics mainly breast development. If breasts are present then the workup then defaults to whether a uterus is present or not. But if a uterus is not present that's an indication to check for chromosomes. Low FSH in this case signifies hypogonatotropic hypogonadism and a test of TSH prolactin and a bitutary MRI is required. Well that wraps up our session we'll see you next time.