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: ...
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 Abstract on OvidMedline]
S...
Hyperthyroidism; Hypothyroidism, Adult; Osteoporosis and Osteopenia
Algorithms: Amenorrhea, Primary (Absence of Menarche by Age 16); Amenorrhea, Secondary; Delayed Puberty
N91.2 Amenorrhea, unspecified
N91.0 Primary amenorrhea
N91.1 Secondary amenorrhea
E28.8 Other ovarian dysfunction
626.0 Absence of menstruation
256.8 Other ovarian dysfunction
14302001 ...
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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