How do you evaluate primary amenorrhea?
Timing of the evaluation of primary amenorrhea recognizes the trend to earlier age at menarche and is therefore indicated when there has been a failure to menstruate by age 15 in the presence of normal secondary sex- ual development (two standard deviations above the mean of 13 years), or within five years after breast …
How do you manage primary amenorrhea?
In patients with functional hypothalamic amenorrhea (especially with the female athlete triad), the primary treatment is weight restoration through nutritional rehabilitation and decreased exercise.
What is the first line of treatment for amenorrhea?
For primary amenorrhea, hormone therapy, consisting of an estrogen and a progestin, is recommended for women with estrogen deficiency. Girls with primary amenorrhea typically do not have symptoms of estrogen deficiency.
How do you evaluate secondary amenorrhea?
Evaluation of Secondary Amenorrhea If TSH and prolactin levels are normal, a progestogen challenge test (Table 33,14) can help evaluate for a patent outflow tract and detect endogenous estrogen that is affecting the endometrium.
Is it bad to have primary amenorrhea?
If you don’t ovulate and don’t have menstrual periods, you can’t become pregnant. When hormone imbalance is the cause of amenorrhea, this can also cause miscarriage or other problems with pregnancy.
Is Primary amenorrhea common?
Amenorrhea Sign Primary amenorrhea (in which a woman does not begin menstruating) is very rare, while secondary amenorrhea (absence of periods in a previously menstruating woman) is much more common.
What is the treatment of secondary amenorrhea?
Common medical treatments for secondary amenorrhea include: Birth control pills or other types of hormonal medication. Certain oral contraceptives may help restart the menstrual cycle. Medications to help relieve the symptoms of PCOS.
Can I get pregnant with secondary amenorrhea?
Secondary amenorrhea means you have had periods, and then they stop, especially for more than 3 months. Even if you don’t have periods, you could still get pregnant.
Can I still get pregnant with amenorrhea?
What are primary causes for secondary amenorrhea?
Pregnancy (which is the most common cause of secondary amenorrhea).
Can secondary amenorrhea have complications?
Common complications of secondary amenorrhea include infertility and emotional stress . Sometimes a complication of or concurrent condition with secondary amenorrhea is endometrial hyperplasia. This condition is a thickening of the uterine lining. If this is the case, sometimes this condition can turn into endometrial cancer.
How common is amenorrhea?
How common is amenorrhea? Honor Society of Nursing (STTI) At any given time secondary amenorrhea occurs in less than five percent of women who have reached a reproductive age, and primary amenorrhea in less than one percent . However, there are several common conditions that can cause a disruption in the menstrual cycle, including: stress, poor nutrition, excessive exercise, or illness.