A. Causes of primary amenorrhea include:
- Hormonal imbalance.
- Ovarian failure and polycystic ovary syndrome.
- A tumour in the pituitary gland.
- Disturbed function of the endocrine system that affects maturation at puberty, i.e. hypothyroidism or hyperthyroidism.
- Birth defects in the reproductive structures.
B. Causes of Secondary Amenorrhea include:
- Problems that affect estrogen levels, e.g. stress, weight loss, intense exercise, illnesses, and hormonal imbalance.
- Problems affecting the pituitary, thyroid, or adrenal glands.
- Ovarian tumors or surgical removal of the ovaries.
- The intake of birth control pills.
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