Primary amenorrhea
No menses by age 13 years with absence of secondary sexual characteristics OR
No menses by age 15 years with normal secondary characteristics
Secondary amenorrhea: ce...
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 w...
Depends on the cause and treatment chosen
If hormonal replacement...
Practice Committee of American Society for Reproductive Medicine. Current evaluation of amenorrhea. Fertil Steril. 2008;90(Suppl 5):S219–S225. [View...
Hyperthyroidism; Hypothyroidism, Adult; Osteoporosis and Osteopenia
Algorithms: Amenorrhea, Primary (Absence of Menarche by Age 16 Years); Amenorrhea, Secondary; Delayed Puberty
N91.1 Secondary amenorrhea
N91.2 Amenorrhea, unspecified
N91.0 Primary amenorrhea
14302001 Amenorrhea
86030004 Secondary physiologic amenorrhea
8913004 Primary physiologic amenorrhea
444769...
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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<bold>Figure 34.1.</bold> Traditional block diagram of feedback and control of menstruation. Traditionally, control of menstruation is based on a simple feedback loop involving the "hypothalamic–pituitary–ovarian axis." This view is giving way to evidence that the follicle itself controls the cyclic process. CNS = central nervous system; FSH = follicle-stimulating hormone; GnRH = gonadotropin-releasing hormone; LH = luteinizing hormone.
<bold>Figure 34.1.</bold> Traditional block diagram of feedback and control of menstruation. Traditionally, control of menstru...
menstruation: abnormalities as shown in kaltenbach chart