Medical Report تقرير طبي The above mention lady , 17 yrs old , presented complain form primary amenorrhea . Know case of thalassemia, with bone marrow transplantation . On exam Breast development (Tanner stage): Stage 1 – prepubertal (no breast tissue)  . US : small uterus , adnexa could not be seen   My advice to do  FSH , LSH , estradiol. Pelvic MRI  Thanks  23.08.2025