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i have patient with amenorrhea which is primary but have four childrena

what do yuo say?

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Health Ace
5491 posts

Probably spontaneous conception due to intermittent non-predictive ovulation. Probably the only 4 times she ever ovulated she conceived as she would have been having regular sex with her husband and using no contraception. Rare, but non unknown.

http://www.docstoc.com/docs/114243089/Spontaneous-Pregnancy-in-Primary-Amenorrhea-Case-Report

Hope this helps a bit

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Not as rare as you think. My grandmother had 4 children and had exactly 8 periods until she had a hysterectomy at 35. My mother had 2, and goes 7-10 months between. I had 1 at 23, after not having a period for over 2 years.

It really depends on the cause of the amenorrhea, but many people with the condition do get pregnant naturally or with very minimal assistance.
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User avatar
Health Ace
5491 posts

I agree with you entirely on amenorrhea that "many people with the condition do get pregnant naturally or with very minimal assistance."
What is more rare is when people get pregnant a few times with no periods at all. In other words, they only ovulate (say) 4 times, and get pregnant 4 times.
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