Amenorrhea refers to the absence of menstrual periods. It can be classified based on cause, onset, and presence of secondary sexual characteristics. Primary amenorrhea is the absence of periods by age 16, secondary amenorrhea is the cessation of periods after they have started. Causes include anatomical issues, endocrine disorders, and genetic conditions. Evaluation involves history, exam, hormone levels, imaging, and genetic testing to determine the underlying cause and guide treatment.