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Amenorrhea or amenorrhoea is the absence of a menstrual period in a female who has reached reproductive age. [1] Physiological states of amenorrhoea are most commonly seen during pregnancy and lactation ( breastfeeding ).
Normal menstrual cycle length is 22–45 days. [4]Amenorrhea is the absence of a menstrual period in a woman of reproductive age. Physiologic states of amenorrhoea are seen during pregnancy and lactation (breastfeeding).
This is a shortened version of the tenth chapter of the ICD-9: Diseases of the Genitourinary System. It covers ICD codes 580 to 629. The full chapter can be found on pages 329 to 353 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1.
Functional hypothalamic amenorrhea (FHA) is a form of amenorrhea and chronic anovulation [1] and is one of the most common types of secondary amenorrhea. [2] It is classified as hypogonadotropic hypogonadism .
Hypoestrogenism is typically found in menopause and aids in diagnosis of other conditions such as POI and functional amenorrhea. [ 17 ] [ 24 ] Estrogen levels can be tested through several laboratory tests: vaginal maturation index, [ clarification needed ] progestogen challenge test , and vaginal swabs for small parabasal cells .
The history of a pregnancy event followed by a D&C leading to secondary amenorrhea or hypomenorrhea is typical. Hysteroscopy is the gold standard for diagnosis. [18] Imaging by sonohysterography or hysterosalpingography will reveal the extent of the scar formation. Ultrasound is not a reliable method of diagnosing Asherman's Syndrome.
Exercise amenorrhoea is a diagnosis of exclusion. Girls who exercise at a young age may have primary amenorrhoea.The differential diagnosis are androgen excess, pituitary tumors (rare), tumors of the third ventricle (rare) or other conditions leading to chronic malnutrition.
The diagnosis is based on age less than forty, amenorrhea, and two elevated serum follicle-stimulating hormone (FSH) and decreased estrogen measurements at one-month intervals. [10] The anterior pituitary secretes FSH and LH at high levels to try to increase the low estrogen levels that are due to the dysfunction of the ovaries.