A Quora user raised concerns about never having her period at age 24, leading to insights from Dr. Ruchi Srivastava, Director of Obstetrics and Gynaecology at ShardaCare–Healthcity. She explained that primary amenorrhea, defined as the absence of menstruation, is not normal and typically indicates an underlying medical issue that requires investigation. Potential causes include hormonal imbalances, conditions like Polycystic Ovary Syndrome (PCOS), thyroid disorders, and structural issues. Lifestyle factors such as low body weight, excessive exercise, and stress may also play a role. While primary amenorrhea can affect fertility, many women can conceive with appropriate treatment. Treatment options vary based on the underlying cause and may include hormonal therapy, lifestyle changes, or surgery. Dr. Srivastava emphasizes the importance of consulting a gynecologist for proper evaluation and management, as early diagnosis is key to effective treatment.