bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbweight

chartsopubertal milestones of siblings and parentsophysical (including height and

weight)oTanner stagingorule out anatomical abnormalities (i.e. U/S)oserum
gonadotropinsobone ageoskull filmsAMENORRHEAAPPROACH TO
AMENORRHEAPrimary Amenorrhea?oabsence of menses by age 15ORSecondary
Amenorrhea?oabsence of menses for >6 months after documented menarcheHistory
and PhysicaloTanner stagingobreasts present?outerus present?or/o possibility of
pregnancyInvestigations(see Figure 3)Table 2. Causes of Primary and Secondary
AmenorrheaAnatomicOvarian
FailureEngggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggg
gggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggdocrineOther• pregnancy•
adhesion• gonadal dysgenesis (absent uterus, ovaries present)• imperforate hym weight
chartsopubertal milestones of siblings and parentsophysical (including height and
weight)oTanner stagingorule out anatomical abnormalities (i.e. U/S)oserum
gonadotropinsobone ageoskull
filmsAMENORRHuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
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AAPPROACH TO AMENORRHEAPrimary Amenorrhea?oabsence of menses by age
15ORSecondary Amenorrhea?oabsence of
mpppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppp
pppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppppp
pppppppppppppppppppppppenses for >6 months after documented menarcheHistory
and PhysicaloTanner stagingobreasts present?outerus present?or/o possibility of
pregnancyInvestigations(see Figure 3)Table 2. Causes of Primary and Secondary
AmenorrheaAnatomicOvarian FailureEndocrineOther• pregnancy• adhesion• gonadal dysgenesis
(absent uterus, ovaries
preshhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh
hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhent)• imperforate hym weight
chartsopubertal milestones of siblings andhhhhhhhhhhhhhhhhhhhhhhhhhhhh
parentsophysical (including height and weight)oTanner stagingorule out anatomical
abnormalities (i.e. U/S)oserum gonadotropinsobone ageoskull
filmsAMENORRHEAAPPROACH TO AMENORRHEAPrimary Amenorrhea?oabsence of
menses by age 15ORSecondary Amenorrhea?oabsence of
mbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbenses
for >6 months after documented menarcheHistory and Physical oTanner stagingobreasts
present?outerus present?or/o possibility of pregnancyInvestigations(see Figure 3)Table
2. Causes of Primary andllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll
Secondary AmenorrheaAnatomicOvarian FailureEndocrineOther• pregnancy• adhesion•
gonadal dysgenesis (absent uterus, ovaries present)• imperforate hymweight chartsopubertal
milestones of siblings and parentsophysical (including height and weight)oTanner
stagingorule out
anhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh
hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhatomical abnormalities (i.e.
U/S)oserum gonadotropinsobone ageoskull filmsAMENORRHEAAPPROACH TO
AMENORRHEAPrimary Amenorrhea?oabsence of menses by age 15ORSecondary
Amenorrhea?oabsence of menses for >6 months after documented menarcheHistory
and PhysicaloTanner stagingobreasts present?outerus present?or/o possibility of
pregnancyInvestigations(see Figure 3)Table 2. Causes of Primary and Secondary
AmenorrheaAnatomicOvarian FailureEndocrineOther• pregnancy• adhesion• gonadal dysgenesis
(absent uterus, ovaries
presennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnt)• imperforate hym