Amenorrhea diagnostic criteria: Difference between revisions
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=== Primary amenorrhea === | === Primary amenorrhea === | ||
*Absence of [[menarche]] until 15 years of age, in the presence of other [[secondary sexual characteristics]] | *Absence of [[menarche]] until 15 years of age, in the presence of other [[secondary sexual characteristics]]. | ||
*Absence of [[menarche]] after 5 years of [[thelarche]], if [[thelarche]] occurred before 10 years of age.<ref name="Herman-GiddensSlora1997">{{cite journal|last1=Herman-Giddens|first1=M. E.|last2=Slora|first2=E. J.|last3=Wasserman|first3=R. C.|last4=Bourdony|first4=C. J.|last5=Bhapkar|first5=M. V.|last6=Koch|first6=G. G.|last7=Hasemeier|first7=C. M.|title=Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice: A Study from the Pediatric Research in Office Settings Network|journal=PEDIATRICS|volume=99|issue=4|year=1997|pages=505–512|issn=0031-4005|doi=10.1542/peds.99.4.505}}</ref> | *Absence of [[menarche]] after 5 years of [[thelarche]], if [[thelarche]] occurred before 10 years of age.<ref name="Herman-GiddensSlora1997">{{cite journal|last1=Herman-Giddens|first1=M. E.|last2=Slora|first2=E. J.|last3=Wasserman|first3=R. C.|last4=Bourdony|first4=C. J.|last5=Bhapkar|first5=M. V.|last6=Koch|first6=G. G.|last7=Hasemeier|first7=C. M.|title=Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice: A Study from the Pediatric Research in Office Settings Network|journal=PEDIATRICS|volume=99|issue=4|year=1997|pages=505–512|issn=0031-4005|doi=10.1542/peds.99.4.505}}</ref> | ||
=== Secondary amenorrhea === | === Secondary amenorrhea === | ||
*[[Menstrual cycle]] is interrupted for at least 3 months, however | *[[Menstrual cycle]] is interrupted for at least 3 months, however were regular before.<ref name="ChiavaroliDAdamo2011">{{cite journal|last1=Chiavaroli|first1=Valentina|last2=DAdamo|first2=Ebe|last3=Diesse|first3=Laura|last4=de|first4=Tommaso|last5=Chiarelli|first5=Francesco|last6=Moh|first6=Angelika|title=Primary and Secondary Amenorrhea|year=2011|doi=10.5772/17675}}</ref> | ||
*[[Menstrual cycle]] is interrupted for at least 6 months, however | *[[Menstrual cycle]] is interrupted for at least 6 months, however were irregular before.<ref>{{cite book | last = Fritz | first = Marc | title = Clinical gynecologic endocrinology and infertility | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia | year = 2011 | isbn = 978-0781779685 }}</ref> | ||
=== Functional ([[hypothalamic]]) amenorrhea === | === Functional ([[hypothalamic]]) amenorrhea === | ||
*The patient usually reports normal regular [[Menstrual cycles|cycles]] in the past, | *The patient usually reports normal regular [[Menstrual cycles|cycles]] in the past, with sudden interruption in menstrual [[Menstrual cycles|cycles]] for more than 3 months. | ||
*There is almost always a history of [[weight loss]] (severe), excessive [[exercise]], or drastic [[emotional stress]] prior to [[menstruation]] stop.<ref name="pmid25201001">Meczekalski B, Katulski K, Czyzyk A, Podfigurna-Stopa A, Maciejewska-Jeske M (2014) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=25201001 Functional hypothalamic amenorrhea and its influence on women's health.] ''J Endocrinol Invest'' 37 (11):1049-56. [http://dx.doi.org/10.1007/s40618-014-0169-3 DOI:10.1007/s40618-014-0169-3] PMID: [https://pubmed.gov/25201001 25201001]</ref> | *There is almost always a history of [[weight loss]] (severe), excessive [[exercise]], or drastic [[emotional stress]] prior to [[menstruation]] stop.<ref name="pmid25201001">Meczekalski B, Katulski K, Czyzyk A, Podfigurna-Stopa A, Maciejewska-Jeske M (2014) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=25201001 Functional hypothalamic amenorrhea and its influence on women's health.] ''J Endocrinol Invest'' 37 (11):1049-56. [http://dx.doi.org/10.1007/s40618-014-0169-3 DOI:10.1007/s40618-014-0169-3] PMID: [https://pubmed.gov/25201001 25201001]</ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
There is no established criteria for the diagnosis of amenorrhea. However, the diagnosis of amenorrhea is based on delayed or absent menstrual cycle.
Diagnostic Criteria
- There is no established criteria for the diagnosis of amenorrhea.
- However, the diagnosis of amenorrhea is based on delayed or absent menstrual cycle.
Primary amenorrhea
- Absence of menarche until 15 years of age, in the presence of other secondary sexual characteristics.
- Absence of menarche after 5 years of thelarche, if thelarche occurred before 10 years of age.[1]
Secondary amenorrhea
- Menstrual cycle is interrupted for at least 3 months, however were regular before.[2]
- Menstrual cycle is interrupted for at least 6 months, however were irregular before.[3]
Functional (hypothalamic) amenorrhea
- The patient usually reports normal regular cycles in the past, with sudden interruption in menstrual cycles for more than 3 months.
- There is almost always a history of weight loss (severe), excessive exercise, or drastic emotional stress prior to menstruation stop.[4]
References
- ↑ Herman-Giddens, M. E.; Slora, E. J.; Wasserman, R. C.; Bourdony, C. J.; Bhapkar, M. V.; Koch, G. G.; Hasemeier, C. M. (1997). "Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice: A Study from the Pediatric Research in Office Settings Network". PEDIATRICS. 99 (4): 505–512. doi:10.1542/peds.99.4.505. ISSN 0031-4005.
- ↑ Chiavaroli, Valentina; DAdamo, Ebe; Diesse, Laura; de, Tommaso; Chiarelli, Francesco; Moh, Angelika (2011). "Primary and Secondary Amenorrhea". doi:10.5772/17675.
- ↑ Fritz, Marc (2011). Clinical gynecologic endocrinology and infertility. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 978-0781779685.
- ↑ Meczekalski B, Katulski K, Czyzyk A, Podfigurna-Stopa A, Maciejewska-Jeske M (2014) Functional hypothalamic amenorrhea and its influence on women's health. J Endocrinol Invest 37 (11):1049-56. DOI:10.1007/s40618-014-0169-3 PMID: 25201001