Diagnosis of primary amenorrhea involves a comprehensive approach:
1. Medical History and Physical Examination: This includes evaluating the patient's growth, development, and family history of menstrual problems. 2. Laboratory Tests: Hormonal levels including FSH, LH, estradiol, prolactin, and thyroid function tests are essential. 3. Imaging Studies: Pelvic ultrasound or MRI can help detect anatomical abnormalities. 4. Genetic Testing: Karyotyping may be performed if a genetic disorder is suspected.
