What tests are done to diagnose amenorrhea?

What tests are done to diagnose amenorrhea?

Tests

• Pregnancy test. This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
• Thyroid function test.
• Ovary function test.
• Prolactin test.
• Male hormone test.

What deficiencies cause amenorrhea?

In 17α-hydroxylase deficiency, deoxycorticosterone, progesterone and aldosterone are elevated, but androgens and estrogens are decreased. Thus, adolescent and adult women with 17α-hydroxylase deficiency present with absence of secondary sexual characteristics and primary amenorrhea.

What are 3 causes of amenorrhea?

Hormonal imbalance

• Polycystic ovary syndrome (PCOS). PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
• Thyroid malfunction.
• Pituitary tumor.
• Premature menopause.

What are the criteria for a diagnosis of amenorrhea?

Amenorrhea may be defined as 1) the absence of menstruation for 3 or more months in women with past menses (i.e., secondary amenorrhea) or 2) the absence of menarche by the age of 15 years in girls who have never menstruated (i.e., primary amenorrhea).

What is the blood test for amenorrhea?

An initial secondary amenorrhea workup includes thyroid stimulating hormone (TSH), prolactin, follicle stimulating hormone (FSH), and luteinizing hormone (LH) tests.

How is amenorrhea evaluated?

Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause.

Does vitamin D deficiency stop periods?

A 2015 study found links between low levels of vitamin D and irregular periods. Irregular periods are a common symptom of polycystic ovary syndrome (PCOS). A small-scale 2014 clinical trial suggests that taking supplements of vitamin D and calcium, alongside metformin, may help regulate periods for people with PCOS.

What vitamins help with amenorrhea?

Nutrition and Supplements Eat more whole grains, vegetables, and omega-3 fatty acids found in cold-water fish, nuts, and seeds. Diets that are very low in fat can raise your risk of amenorrhea. In addition, these supplements may help: Calcium, magnesium, vitamin D, vitamin K, and boron.

Which hormone is responsible for amenorrhea?

High estrogen levels cause the lining of the uterus to grow and thicken. As the lining of the womb thickens, your body releases an egg into one of the ovaries. The egg will break apart if a man’s sperm doesn’t fertilize it. This causes estrogen levels to drop.

What is the best 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.

When do you evaluate for 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 …

What is FSH test?

What is a follicle-stimulating hormone (FSH) levels test? This test measures the level of follicle-stimulating hormone (FSH) in your blood. FSH is made by your pituitary gland, a small gland located underneath the brain. FSH plays an important role in sexual development and functioning.

How to diagnose and manage amenorrhea in women?

Amenorrhea: An Approach to Diagnosis and Management 1 HISTORY. Patients should be asked about eating and exercise patterns, changes in weight,… 2 PHYSICAL EXAMINATION. The physician should measure the patient’s height, weight,… 3 LABORATORY EVALUATION. The initial workup includes a pregnancy test and serum luteinizing hormone,…

What are the treatment goals for primary amenorrhea?

The treatment of primary and secondary amenorrhea is based on the causative factor. Treatment goals include prevention of complications such as osteoporosis, endometrial hyperplasia, and heart disease; preservation of fertility; and, in primary amenorrhea, progression of normal pubertal development.

Can a patient with amenorrhea be presumed infertile?

Patients with primary ovarian insufficiency can maintain unpredictable ovarian function and should not be presumed infertile. Patients with hypothalamic amenorrhea should be evaluated for eating disorders and are at risk for decreased bone density.

Is there a pregnancy test for primary amenorrhea?

Initial workup of primary and secondary amenorrhea includes a pregnancy test and serum levels of luteinizing hormone, follicle-stimulating hormone, prolactin, and thyroid-stimulating hormone. Patients with primary ovarian insufficiency can maintain unpredictable ovarian function and should not be presumed infertile.