Oligomenorrhea
Reproductive System
Women Amenorrhea
Primary Amenorrhea Secondary Amenorrhea - Etiology
- Primary Ovarian Failure
- Hypothalamic Dysfunction
- Pituitary Dysfunction
- Uterine Disorder
- Work Up: Figure 2 of AAFP 2013
- First: Consder Pregnancy, Hyperprolactinoma (Brain lesion vs Medications), Hyperthyroidsm; Also order FSH, LH
- Based on LH, FSH
- Primary Ovarian Failure
- Repeat test in 1 month; Consider Karyotype for Turner
- Secondary / Tertiary Ovarian Failure: 1 out of 4 conditions
- 1. Functional
- 2. Mass lesion
- 3. Hyperandrogenism: 3 conditions; Test for Serum testosterone, DHEA-S,
17-hydroxyprogesterone
- Adrenal or ovarian tumor
- PCOS
- Late onset CAH
- Asherman Syndrome
- Reference:
Other
Recent Publications in Endocrinology
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