Hopp til hovedinnhold

Manglende menstruasjon - primær amenoré, veiviser

Manglende menstruasjon er når en jente i 14-årsalderen aldri har hatt menstruasjon, og i tillegg mangler brystutvikling, behåring i kjønnsregionen og heller ikke har hatt noen vekstspurt.

Sist oppdatert: Sist revidert:

QR
Del pasientinformasjon

Den ligger åpent tilgjengelig på NHI.no sammen annen relevant informasjon

https://nhi.no/symptomer/barn/manglende-menstruasjon-hos-ung-jente/ 

Hva er manglende menstruasjon?

Forekomst

Hvordan reguleres menstruasjonen normalt?

Hva kan årsaken være?

Vanlige årsaker

Sjeldne årsaker

Hva kan du gjøre selv?

Når bør du søke lege?

Hva gjør legen?

Sykehistorien

Legeundersøkelsen

Andre undersøkelser

Henvisning til spesialist eller sykehus

Kilder

Referanser

Dette dokumentet er basert på det profesjonelle dokumentet Amenoré, primær. Referanselisten for dette dokumentet vises nedenfor.

  1. Klein DA, Paradise SL, Reeder RM. Amenorrhea: a systematic approach to diagnosis and management. Am Fam Physician. 2019 Jul 1;100(1):39-48. PMID: 31259490.
  2. Solnik MJ, Papillon-Smith J. Assessment of primary amenorrhoea, last updated Dec 07, 2016. bestpractice.bmj.com 
  3. Marshall WA, Tanner JM. Variations in patterns of pubertal changes in girls. Arch Dis Child 1969; 44: 291-303. PubMed 
  4. Timmreck LS, Reindollar RH. Contemporary issues in primary amenorrhea. Obstet Gynecol Clin North Am. 2003;30:287-302. PubMed 
  5. Practice Committee of the American Society for Reproductive Medicine. Current evaluation of amenorrhea. Fertil Steril. 2008;90(suppl 3):S219-S225.
  6. Folch M, Pigem I, Konje JC. Müllerian agenesis: etiology, diagnosis, and management. Obstet Gynecol Surv 2000; 55: 644-9. PubMed 
  7. Seldmeyer IL, Palmert MR. Delayed puberty: analysis of a large case series from an academic center. J Clin Endo Metab 2002; 87: 1613-20. PubMed 
  8. The Practice Committee of the American Society for Reproductive Medicine. Current evaluation of amenorrhea. Fertil Steril 2004; 82(suppl 1): 33-9.
  9. Committee on Adolescent Health Care. ACOG Committee opinion no. 728: Müllerian agenesis: diagnosis, management, and treatment. Obstet Gynecol. 2018;131(1):e35–e42. PMID: 29266078. PubMed 
  10. Norsk gynekologisk forening. Gjør kloke valg. Publisert 13.06.2019. www.legeforeningen.no 
  11. Shaw ND, Seminara SB, Welt CK, et al. Expanding the phenotype and genotype of female GnRH deficiency. J Clin Endocrinol Metab. 2011;96(3):E566–E576.
  12. Nelson LM. Clinical practice. Primary ovarian insufficiency. N Engl J Med. 2009;360(6):606–614.
  13. Sybert VP, McCauley E. Turner's syndrome. N Engl J Med. 2004;351(12):1227–1238.
  14. Simpson J, Rajkovic A. Ovarian differentiation and gonadal failure. Am J Med Genet 1999; 89: 186-200. PubMed 
  15. Legro RS, Arslanian SA, Ehrmann DA, et al; Endocrine Society. Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2013;98:4565-4592. PubMed 
  16. Gravholt CH, Andersen NH, Conway GS, et al.; International Turner Syndrome Consensus Group. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting. Eur J Endocrinol. 2017;177(3):G1–G70. PMID: 28705803. PubMed 
  17. Gordon CM, Ackerman KE, Berga SL, et al. Functional hypothalamic amenorrhea: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2017;102(5):1413–1439. PMID: 28368518.
  18. Martin KA, Anderson RR, Chang RJ, et al. Evaluation and treatment of hirsutism in premenopausal women: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2018;103(4):1233–1257. PMID: 29522147. PubMed