What to expect if I have Primary amenorrhea  (Outlook/Prognosis)?
Overall the outlook is good, depending on the cause of the amenorrhea. If the amenorrhea is caused by one of the following conditions, there is a good chance that it can be corrected with medication, lifestyle changes, or surgery:
Adrenogenital syndrome Chronic illness Congenital heart disease Drastic weight reduction Hypogonadotropic hypogonadism Imperforate hymen or vaginal septum Malnutrition Normal delay of onset (up to age 14 or 15) Obesity Overactive thyroid
Periods are unlikely to start on their own if the amenorrhea was caused by one of the following conditions:
Congenital abnormalities of the upper genital system Craniopharyngioma Cystic fibrosis Gonadal dysgenesis Prader-Willi syndrome Testicular feminization syndrome True hermaphroditism Turner syndrome (XO)
If the amenorrhea cannot be corrected, it is sometimes possible to create a menstrual-like situation (pseudomenstruation) with medications. Medicines can help you feel more like your friends or family, and will also protect the bones from becoming too thin (osteoporosis). </s>