✅ Answer: A) Amenorrhea
Amenorrhea is the absence of menstruation (menstrual periods).
Types:
🔹 Primary amenorrhea: No onset of menstruation by 15 years of age despite normal secondary sexual characteristics, or by 13 years if secondary sexual characteristics are absent.
🔹 Secondary amenorrhea: Absence of menstruation for ≥3 months in women with previously regular menstrual cycles, or ≥6 months in women with previously irregular cycles.
🩺 The first step in evaluating secondary amenorrhea in any reproductive-age woman is to rule out pregnancy.
Why the other options are incorrect:
❌ B) Menorrhagia – Excessively heavy or prolonged menstrual bleeding (currently classified under Abnormal Uterine Bleeding [AUB]).
❌ C) Dysmenorrhea – Painful menstruation caused by uterine contractions (primary) or underlying pelvic pathology such as endometriosis or adenomyosis (secondary).
❌ D) Leukorrhea – White or yellowish vaginal discharge. It may be physiological or pathological depending on the cause and associated symptoms.
📚 Key point:
Amenorrhea = No menstruation
Menorrhagia = Heavy bleeding
Dysmenorrhea = Painful periods
Leukorrhea = Vaginal discharge