5-Minute Clinical Consult : Amenorrhea

Amenorrhea

Surgery/Other Procedures

A hymenectomy, done as a day surgery, is required for those whose primary amenorrhea is due to imperforate hymen.
Lysis of adhesions in Asherman syndrome has been shown to be effective in restoring menstrual regularity and fertility.
In patients with karyotype XY, gonads must be removed due to increased risk of gonadal tumors.
Patients with müllerian agenesis and other congenital anatomical abnormalities of the vagina can undergo surgery to create a functioning vagina.

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