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Comprehensive Guide to Amenorrhea: Diagnosis and Management Strategies

This article provides a thorough overview of amenorrhea, delineating its types: primary and secondary. It outlines key indicators for concern, such as the absence of menstruation post-breast development and after regular or irregular menstrual cycles. The guide discusses a systematic approach to diagnosis, including hormonal evaluations and imaging tests, while emphasizing the importance of considering underlying conditions such as endocrine disorders. A unique song metaphorically illustrates the diagnostic process, making complex information accessible and engaging.

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Comprehensive Guide to Amenorrhea: Diagnosis and Management Strategies

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  1. Amenorrhea: An Approach to Diagnosis and ManagementReference : AFP June 1, 2013 Volume 87, Number 11 AFP Review by DrEngholm

  2. When to be worried: • 13 and no puberty • 5 years after initial breast development, no menses • 15 years old and no menses

  3. When else should I be worried? • No menses any time after having 3 months of regular periods • No menses any time after having 6 months of irregular periods

  4. Primary Amenorrhea

  5. Secondary Amenorrhea

  6. Amenorrhea Song If she ain’t got no flow Think XO If she’s short then you know If she’s not then you go To the uterus and then Gonadotropins If there’s no lady part Then you got a good start Androgens you see Have insensitivity If she had her flow and stopped What pills has she popped? Is there a baby up in there? Has she lost her hair? High hormones will tell If the ovaries are well Calculate her BMI Headache gets an MRI If you notice a beard Metformin’s not too weird And when it’s time to phone a friend Think Endocrine

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