Amenorrhea in adolescents becomes a concern if there is no menses by age:

1. 12.
2. 13.
3. 14.
4. 16.


4
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1. The average age of menarche is 12 in the United States. 95 percent of girls have their menses by age 14, thus having no menses by age 12 would not apply.
2. The average age of menarche is 12 in the United States. 95 percent of girls have their menses by age 14, thus having no menses by age 13 would not apply.
3. The average age of menarche is 12 in the United States. 95 percent of girls have their menses by age 14, thus having no menses by age 14 would not apply.
4 The average age of menarche is 12 in the United States. 95 percent of girls have their menses by age 14. Girls would need an endocrine evaluation if they have no menses by age 16.

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