RT Book, Section A1 Fitzgerald, Paul A. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1184698226 T1 Primary Amenorrhea T2 Current Medical Diagnosis & Treatment 2022 YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269389 LK accessmedicine.mhmedical.com/content.aspx?aid=1184698226 RD 2024/04/19 AB Menarche ordinarily occurs between ages 11 and 15 years (average in the United States: 12.7 years) (see also Chapter 18). The failure of any menses to appear is termed “primary amenorrhea,” and evaluation is commenced either (1) at age 14 years if neither menarche nor any breast development has occurred or if height is in the lowest 3% for ethnicity, or (2) at age 16 years if menarche has not occurred.