What department should I go to for primary amenorrhea?

Primary amenorrhea should be checked by a gynecologist or endocrinologist, as it may involve factors such as genetics, abnormal hormone levels, and reproductive system development problems. Treatments include medication, surgery, and lifestyle adjustments.

1. Genetic factors

Primary amenorrhea may be related to genetics, such as chromosomal abnormalities such as Turner syndrome. Such diseases can affect ovarian development and cause irregular menstruation. It is recommended to perform chromosome karyotype analysis to determine whether there is a genetic problem. If a genetic disease is confirmed, a personalized treatment plan should be developed based on the specific situation, such as hormone replacement therapy.

2. Abnormal hormone levels

Hypothalamic-pituitary-ovarian axis dysfunction is a common cause of primary amenorrhea. Examination items include six sex hormones and thyroid function. If abnormal hormone levels are found, medications such as oral contraceptives and gonadotropins can be used to help restore the menstrual cycle.

3. Problems with reproductive system development

Congenital abnormalities of reproductive system development, such as the absence of a uterus or vagina, may also cause primary amenorrhea. Imaging tests such as ultrasound and MRI can confirm the diagnosis. Treatment includes surgical correction, such as vaginoplasty, or hormone therapy to promote the development of secondary sexual characteristics.

4. Lifestyle Adjustment

Factors such as being too low or too high in weight, excessive exercise, and high mental stress may affect menstruation. It is recommended to maintain a balanced diet, exercise moderately, and avoid excessive dieting or strenuous exercise. Psychological counseling can also help relieve stress and improve endocrine function.

The causes of primary amenorrhea are complex and require targeted treatment based on the specific situation. Early diagnosis and intervention are crucial to improving prognosis. Patients are advised to seek medical attention as soon as possible, cooperate with doctors for comprehensive examinations, and develop personalized treatment plans. At the same time, maintaining good living habits and mentality will help promote physical recovery.