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Dr. Natalie Crawford addresses a listener's question about primary amenorrhea, discussing the absence of periods despite typical puberty signs and normal hormone levels. She explains the difference between primary and secondary amenorrhea, potential causes like ovarian failure, Mullerian aplasia, androgen insensitivity syndrome, and more. Most importantly, she emphasizes the importance of thorough evaluation and testing to determine the underlying cause. Want to receive my weekly newsletter? Sign up at nataliecrawfordmd.com/newsletter to receive updates, Q&A, special content and my FREE TTC Starter Kit and Vegan Starter Guide! Don't forget to ask your questions on Instagram for next week’s For Fertility’s Sake segment when you see the question box on Natalie’s page @nataliecrawfordmd. You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today! Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to Quince.com/aaw for free shipping on your order and 365-day returns Ritual-Go to ritual.com/AAW to start Ritual or add Essential For Women 18+ to your subscription today. Calm - Go to calm.com/aaw for 40% off a Calm premium subscription. Air Doctor - Go to AirDoctorPro.com and use code AAW to get up to $300 off! If you haven’t already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram @nataliecrawfordmd, check out Natalie's YouTube channel Natalie Crawford MD, and if you're interested in becoming a patient, check out Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices