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Secondary amenorrhea's most common and most easily diagnosable causes are pregnancy, thyroid disease, and hyperprolactinemia. [50] A pregnancy test is a common first step for diagnosis. [50] Similar to primary amenorrhea, evaluation of secondary amenorrhea also begins with a pregnancy test, prolactin, FSH, LH, and TSH levels. [13]
Diagnosis of anovulation cause involves hormone level tests, in conjunction with an assessment of associated symptoms. A patient history and physical exam should include history of onset and pattern of oligomenorrhea or amenorrhea , signs of PCOS such as hyperandrogenism and obesity , eating disorders, causes of excessive physical or mental ...
A full physical exam, external gynecological and bimanual exam can be performed to assess for organic causes of amenorrhea. [9] Symptoms of hypoestrogenism, whose severity will positively correlate with the duration of hypoestrogenism, will be present in FHA patients; these can include lack of cervical mucus, pale areola and nipples, thinned ...
In females, diagnosis is sometimes further delayed as other causes of amenorrhoea normally have to be investigated first before a case of KS/CHH is considered. [38] Tanner scale-female. Diagnosis of KS/CHH normal involves a range of clinical, biochemical and radiological tests to exclude other conditions that can cause similar symptoms ...
Symptoms of RED-S. Relative energy deficiency in sport ( RED-S ) [ 1 ] [ 2 ] is a syndrome in which disordered eating (or low energy availability ), [ 3 ] amenorrhoea / oligomenorrhoea (in women), and decreased bone mineral density ( osteoporosis and osteopenia ) are present. [ 4 ]
Successful treatment varies depending on the diagnosis of amenorrhea. In patients with functional hypothalamic amenorrhea due to physical or psychological stress, non-pharmacological options include weight gain, resolution of emotional issues, or decreased intensity of exercise.
Oligoamenorrhea, also known as irregular infrequent periods or irregular infrequent menstrual bleeding, is a collective term to refer to both oligomenorrhea (infrequent periods) and amenorrhea (absence of periods). [1] It is a menstrual disorder in which menstrual bleeding occurs on an infrequent and irregular basis.
This causes hypometabolic symptoms such as chronic fatigue, bradycardia, and amenorrhea. [4] Bradycardia and orthostatic instability are frequent and life-threatening complications that account for the majority of medical hospitalizations in atypical anorexia nervosa.