Amenorrhea: Absence of menstruation.Causes: Physiological (Normal) : in pregnancy, lactation, before puberty, after menopause.Pathological(Abnormal): Primary: Menarche doesn’t appear till 18 years. Congenital obstructive lesions at lower genital tract.Congenital absence of uterus, genital canal.Sex chromosome anamolyPolycystic ovarian diseaseHypothyroidismPituitary tumorsPsychogenic as in anorexia nervosa.Uterine TBDrugs: Anabolic steroids, drug addictionSecondary amenorrhea: Cessation of cycles for more then three cycles.Obstructive lesions in lower genital tractUterine injuries due to TB, hysterectomy, radiationOvarian cystsPolycystic ovarian syndromeSevere Anemia