Menarche may normally be delayed to 15th or 16th year.Advice ultrasonography to confirm that there Is no congenital abnormality or uterus and ovaries. If uterus is normal imperforate hymen is ruled out and secondary sexual characters are developed. Tab. REGESTRONE 1 bd x 7 days. If there is no with drawl bleeding then. Tab. Ovral-G 1 daily x 21 days. If there is no withdrawal bleeding after this course, then refer to a gyneacologist.
If secondary secual characters like breast and pubic hair are not characters likely to be present.
