Background: The objectives of this study were to determine the etiologic causes of amenorrhea, the prevalence of mullerian anomalies as a cause of primary amenorrhea and the different varieties of mullerian anomalies causing primary amenorrhea. Methods: This study included all the women presenting with primary amenorrhea who presented to the department of obstetrics and gynecology, Sir T Hospital and Government Medical College, Bhavnagar from 1st January 2010 to 30th June 2012. Results: The causes of primary amenorrhea of our study due to obstructive anomalies were 37.72(n=5) and mullerian agenesis were 57.14% (n=8) and androgen insensitivity 7.14 (n=1). Conclusions: Mullerian agenesis is the most prevalent cause of primary amenorrhea in our study. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 393-397

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