Primary amenorrhoea: a diagnostic dilemma

Deepika Narasegowda, Arun Kumar, K. S. Aparna


Primary amenorrhoea is defined as absence of menses in females by the age of 14 years in the absence of secondary sex characters or absence of menses by the age of 16 years regardless of appearance of secondary sex characters. Incidence of Extrapulmonary TB (EPTB) is increasing in young women throughout the world. We report a case of 24 year unmarried female with primary amenorrhoea secondary to genital tuberculosis apparently having no sings & symptoms of tuberculosis.


Primary amenorrhoea, Genital tuberculosis

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Speroff L, Glass RH, Kase NG. Amenorrhoea. In: Mitchell C, eds. Clinical Gynaecologic Endocrinology and Infertility. 5th ed. Baltimore: William and Wilkins; 1994: 401-456.

Wachtel SS. The genetics of intersexuality: clinical and theoretic perspectives. Obstet Gynaecol. 1979;54:671-83.

Rao K, Pillai NV. Primary amenorrhoea (analysis of 40 cases). J Indian Medi Assoc. 1991;89:42-3.

Stallworthy J. Amenorrhoea. In: Stallworthy J, eds. British Gynaecological Practice. 2nd ed. London: Heinemann; 1958: 559.

Liljedahl SO, Ryden ABV. Diagnosis and treatment of genital tuberculosis in women. Acta Obstet Gynecol Scand. 1951;30:359-83.

Kumar S. Female genital tuberculosis. In: Sharma SK, Mohan A, eds. Tuberculosis. 2nd ed. Delhi: Jaypee; 2009: 441-448.

Gatongi DK, Gitau G, Kay V, Ngwenya S, Lafong C, Hasan A. Female genital tract tuberculosis. Obstet Gynaecol. 2005;7:75-9.

Sharma JB. Tuberculosis and obstetric and gynaecological practice. In: Studd J, Tan SL, Chervenak FA, eds. Progress in Obstetrics and Gynaecology. 1st ed. Philadelphia: Elsevier; 2008: 395-427.