
A 24-year-old woman who has never menstruated consulted online. According to Dr. Ruchi Srivastava, this condition, called primary amenorrhea, is not normal and requires medical evaluation. Causes include hormonal imbalances, PCOS, thyroid disorders, structural issues, or genetic conditions. Lifestyle factors alone rarely cause complete absence. Treatment depends on underlying causes and often involves hormone therapy or surgical intervention. Early consultation with a gynecologist is essential.