Menarche is the onset of menstruation in an adolescent. This average age of menarche is twelve, but there is much variation. Amenorrhea is an unusual absence of menstruation and should be cause for medical consultation. | Menarche is the onset of menstruation in an adolescent. This average age of menarche is twelve, but there is much variation. Amenorrhea is an unusual absence of menstruation and should be cause for medical consultation. |