Amenorrhea is the absence of three menstrual periods in a row menstruation (one or more missed menstrual periods) and/or those girls who haven’t begun menstruation by age 15.
Diagnostics tests
| Etiology | Breast* | Uterus* | Additional Testing |
|---|---|---|---|
| Delayed puberty | No | Yes | FSH ↓ |
| Turner 45,X | No | Yes | FSH ↑ |
| Genital tract agenesis | Yes | No | Ultrasonography |
| Androgen insensitivity | Yes | No | Karyotype |
| Outflow tract obstruction | Yes | Yes | Estrogen/progesterone withdrawal test |
| * Normal female development | |||
| Etiology | Body Weight | Androgenic | Galactorrhea & High Prolactin | High FSH* | History of D&C** |
|---|---|---|---|---|---|
| Hypothalamic amenorrhea | ↓ | – | – | – | – |
| Polycystic ovary syndrome | ↑ | + | – | – | – |
| Hyperprolactinemia | – | – | + | – | – |
| Premature ovarian insufficiency | – | – | – | + | – |
| Uterine adhesions | – | – | – | – | + |
*Follicle-Stimulating Hormone (FSH)
**Dilation and Curettage
Syndromes
Medication
Vitamins, herbals and minerals
This condition can lead to:
Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice
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