Review of systems including weight change, symptoms of pregnancy or menopause, virilizing changes, cyclic pelvic pain, galactorrhea, headaches, vision changes, fatigue, palpitations, ...
Progesterone challenge and replacement: medroxyprogesterone (Provera): 10 mg/day for 10 days will result in withdrawal bl...
Depends on the cause and treatment chosen
If hormonal replacement is us...
Practice Committee of American Society for Reproductive Medicine. Current evaluation of amenorrhea. Fertil Steril. 2008;90(Suppl 5):S219–S225.
Santoro N. Update in hyper- and...
Osteoporosis; Hyperthyroidism; Hypothyroidism
Algorithms: Amenorrhea, Primary; Amenorrhea, Secondary; Delayed Puberty
N91.2 Amenorrhea, unspecified
N91.0 Primary amenorrhea
N91.1 Secondary amenorrhea
E28.8Other ovarian dysfunction
626.0Absence of menstruation
256.8Other ovarian dysfunction
First evaluate whether amenorrhea is primary or secondary and exclude pregnancy. TSH and PRL are usual first blood tests.
Progestin challenge may cause withdrawal bleed in women with in...
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