Primary amenorrhea is a condition where a female of 16 years of age has not attained menarche, irrespective of development of secondary sexual characteristics. Cryptomenorrhea, the hidden accumulation of menstrual blood due to obstructed outow, often presents as primary amenorrhea in adolescent girls. (8) It can be due to congenital or acquired conditions. (8) Imperforate hymen is a common etiology of cryptomenorrhea, leading to the formation of haematocolpos which can present as varied symptoms and lead to a multitude of complications. Prompt recognition and intervention are crucial to prevent complications and restore normal menstrual function.
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Shekhar et al. (2024) studied this question.
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