Epistemis

Amenorrhea

Specialty: Nephrology and urology.

  • absence of menstruation
  • lack of rule

Why it occurs

  • Pregnancy (first cause to rule out)
  • Polycystic ovary syndrome
  • Hyperprolactinemia
  • Hypothalamic-pituitary dysfunction
  • Menopause

Initial workup

Pregnancy test first; TSH, prolactin, FSH/LH, estradiol; pelvic ultrasound.

red flags

Amenorrhea with galactorrhea and headache/visual disturbance (pituitary adenoma).

Standard management

  • Pregnancy test — always before studying
  • Treat the hormonal cause — according to etiology

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousHand flexor tenosynovitis
Area
Nephrology and urology
Listed causes
5
Treatment options
2
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