My 15-year-old daughter has not seen her menses at an age when her age mates are already in their 4th to 5th year of their menses. What I noticed is that her lower abdomen is protruding even though she is still a virgin. Although my elder sister who is a nurse has encouraged me not to worry that some young women usually have late menses, I am getting disturbed with her condition and will appreciate your kind assistance.

Chinwe (by E Mail)

Menarche (the onset of menstruation), varies between ages 9 and 18 with the average around 12 years old. If no periods have occurred when a girl is older than 15, further testing may be needed. Your daughter’s protruding abdomen may indicate an underlying problem called ‘imperforate hymen’. This occurs when there is no opening in the hymen which should permit the outflow of the menses. Therefore, even though your daughter may be menstruating, the blood flow gets trapped in the womb which gets enlarged. The way to know if this is the problem is by carrying out an Ultrasound investigation. Once this is confirmed, your doctor will incise your daughter’s hymen to release the accumulated blood in the womb which will come out as dark coloured and congealed blood.

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