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An Approach To:

Vol. 19 No. 2 (2021)

Approach to: Amenorrhea

DOI
https://doi.org/10.26443/mjm.v19i1.320
Submitted
September 29, 2020
Published
2021-07-12

Abstract

This article provides an approach to amenorrhea and is intended for pre-clinical and clerkship medical students. Primary amenorrhea refers to the absence of menarche by 15 years or 3 years post thelarche while secondary amenorrhea is the cessation of menses for 3 months in women with a previously regular cycle or for 6 months in women with previously irregular menses. While amenorrhea can be physiological it can also reflect an anatomical or more complex hormonal problem that students must learn to identify and investigate. 

References

  1. Morgan T. Turner Syndrome: Diagnosis and Management. American Family Physician. 2007:76(3): 405-410.
  2. Practice Committee of American Society for Reproductive Medicine. Current evaluation of amenorrhea. Fertil Steril. 2008;90(5):219-25.
  3. Klein DA, Paradise SL, Reeder RM. Amenorrhea: A Systematic Approach to Diagnosis and Management. Am Fam Physician. 2019 Jul 1;100(1):39-48. PMID: 31259490.
  4. Heiman DL. Amenorrhea. Prim Care. 2009 Mar;36(1):1-17.
  5. Roberts-Wilson TK, Spencer JB, Fantz CR. Using an algorithmic approach to secondary amenorrhea: Avoiding diagnostic error. Clin Chim Acta. 2013 Aug 23;423:56-61.
  6. Betz D, Fane K. Human Chorionic Gonadotropin (HCG) [book on the Internet]. Treasure Island (FL): StatPearls; 2020 [Updated 2020 Aug 30; cited Sept.24 2020]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532950/
  7. Glezer A, Bronstein MD. Prolactinomas. Endocrinol Metab Clin North Am. 2015;44(1):71-78.
  8. Majumdar A, Mangal NS. Hyperprolactinemia. J Hum Reprod Sci. 2013;6(3):168-175.
  9. Kalro BN. Impaired fertility caused by endocrine dysfunction in women. Endocrinol Metab Clin North Am. 2003;32(3):573-92.
  10. Kravets I. Hyperthyroidism : Diagnosis and Treatment. American Family Physician. 2016:93(5):363-373.
  11. Jankowska K. Premature ovarian failure. Prz Menopauzalny. 2017;16(2):51-56.
  12. Meczekalski B, Katulski K, Czyzyk A, Podfigurna-Stopa A, Maciejewska-Jeske M. Functional hypothalamic amenorrhea and its influence on women's health. J Endocrinol Invest. 2014;37(11):1049-1056.
  13. Legro R S, Arslanian S A, Ehrmann D A, Kathleen M. Hoeger, Murad H M, Pasquali R, Welt C K. Diagnosis and Treatment of Polycystic Ovary Syndrome: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism. 2013: 98 (12):4565–4592.
  14. Yoon JY, Cheon CK. Evaluation and management of amenorrhea related to congenital sex hormonal disorders. Ann Pediatr Endocrinol Metab. 2019;24(3):149-157.
  15. Committee on Adolescent Health Care. Müllerian Agenesis: Diagnosis, Management, and Treatment. Obstetricts & Gynecology. 2018;131(1):35-42.

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