Testing & Diagnosis for Amenorrhea in Children

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The first step in treating your child’s amenorrhea is to determine what’s causing it, so a complete and accurate diagnosis is extremely important. If your daughter hasn’t had her first menstrual cycle by 15 or is more than three years since she started developing breasts, she should see her physician.

We’ll start by taking a history of your daughter and family, asking questions about past medical history, other health issues, weight loss, weight gain, concerns about eating disorders, medications she’s taking, excess hair growth and acne, sexual activity and family history of problems with menstrual cycles. These questions might include:

  • When did you start to go through puberty and develop breasts?
  • Have you ever had any vaginal bleeding?
  • When was your last menstrual period?
  • Has your weight changed?
  • Are you under stress or depressed?
  • Has anyone thought you might have an eating disorder? 
  • How hard to have to work to keep your weight where you want it to be?
  • How much do you exercise?
  • Do you have excessive hair growth or gain weight easily?
  • Have you ever had sexual intercourse? Do you use contraception
  • Do you take any medications? Which?

We’ll also ask about any other physical symptoms she’s experiencing, such as headaches. Our team has lots of experience in helping teenage girls feel comfortable talking about these things, so your daughter is in excellent hands with us.

Every teen is different, and your daughter may require a general physical exam or external genital check. In some cases, girls might have a pelvic exam or an ultrasound. We may also likely do blood tests to check her levels of hormones and a pregnancy test , so that we can consider all the possible causes of amenorrhea.

After we complete all necessary tests, we’ll discuss our findings with your daughter and then you the best treatment options.

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Boston Children's Hospital
300 Longwood Avenue, Boston, MA 02115
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