secondary amenorrhea treatment

Underlying conditions are treated where possible (see the linked separate articles above where relevant). 2010 Nov;35(11):24-30; quiz 30-1. doi: 10.1097/01.NPR.0000388939.16499.60. In teenage girls, menses do not occur by the age of 16. These include: Pituitary tumor. PIP: 87 cases (Group 1) of secondary amenorrhea starting immediately after treatment with estrogen-gestagen tablets and 227 cases (Group 2) with secondary amenorrhea not preceded by hormonal therapy were studied. Data sources include IBM Watson Micromedex (updated 2 Feb 2021), Cerner Multum™ (updated 3 Feb 2021), ASHP (updated 29 Jan … Pereira, Katherine DNP, FNP-BC, FAAN, FAANP; Brown, Ann J. MD, MHS. Treatment is directed by the diagnosis. Women with amenorrhoea who do not wish to become pregnant should consider contraception, as there may still be a risk of pregnancy, d… If primary or secondary amenorrhea is caused by lifestyle factors, your health care provider may suggest changes in the areas below: Be aware of changes in your menstrual cycle and check with your health care provider if you have concerns. Your … This article discusses secondary amenorrhea and provides a systematic approach to its diagnostic evaluation, wi … Secondary amenorrhea: Diagnostic approach and treatment considerations Nurse Pract. Young athletes are particularly vulnerable, although normal menses usually return with healthy body weight. In general, medications are safe, but they can have side effects, some of which may be serious. Treatment of primary and secondary amenorrhea is determined by the specific cause. Women can have hot flashes, discharge of milk from the nipples, vaginal dryness, headaches, and … Pituitary tumors can put pressure on surrounding blood vessels and nerves such as the optic nerve and may result in loss of vision. Keep a record of when your periods occur. Secondary amenorrhea, the cessation of previously normal menstruation, should be considered in any female who has a gynecologic age of at least 24 months and has not menstruated for three or more consecutive cycles. Ideally, treatment should be directed at correcting the underlying pathology. 4; Estrogen replacement therapy (ERT). The importance of the history and physical in diagnosis. Pituitary tumors are not cancerous, but they can cause problems as they grow. Hormonal imbalances can be treated with supplemental or synthetic hormones. Amenorrhea Treatment Natural Solution: Traditional Chinese Medicine (TCM) Natural solutions and drug-free therapies are preferred to medications and drugs that could have a … … If a tumor or structural blockage is causing the problem, surgery may be necessary. Author Information . 2. Causes of secondary amenorrhea can also result in primary amenorrhea, especially if present before onset of menarche. This can be evaluated, diagnosed, and treated with hysteroscopy. Clomiphene citrate (CC) therapy is often prescribed to help trigger ovulation.  |  NICHD Policies for Data & Safety Monitoring, Clinician-Scientist Investigator (CSI) Curriculum, Office of Administrative Management (OAM), Office of Legislation and Public Policy (OLPP), Office of Science Policy, Reporting, and Program Analysis (OSPRA), NCMRR Funding Opportunity Announcements (FOAs), Snapshot of Pregnancy & Infant Development Advances, Snapshot of Adult & Family Health Advances, National Advisory Child Health and Human Development (NACHHD) Council, National Advisory Board on Medical Rehabilitation Research (NABMRR), Task Force on Research Specific to Pregnant Women and Lactating Women (PRGLAC), https://employees.nih.gov/pages/coronavirus/, Fragile X-associated primary ovarian insufficiency (FXPOI), http://www.aafp.org/afp/2006/0415/p1374.html, http://www.ncbi.nlm.nih.gov/pubmed/19535881, https://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/, http://www.nih.gov/news/health/apr2010/nichd-26.htm, http://www.acog.org/~/media/For%20Patients/faq062.pdf?dmc=1&ts=20120606T1418144478, http://www.hindawi.com/journals/ogi/2012/853269/, Spotlight: Boosting women’s health by supporting menstruation research, Science Update: Fragile X carriers may be at higher risk for several health conditions, NIH-funded study suggests, National Child & Maternal Health Education Program. The treatment for secondary amenorrhea varies depending on the underlying cause of your condition. Certain oral contraceptives may help restart the menstrual cycle. Fertility may be a concern in the younger woman, whether in the near or more distant future. Diagnostic breast evaluation: when to refer and what the results really mean. Katherine Pereira is an associate professor at Duke University School of Nursing, Durham, N.C., and a family NP at Duke University Medical Center, Division of Endocrinology, Metabolism and Nutrition, Durham, N.C. Ann J. Had this patient been placed empirically on oral contraceptive pills, a frequently prescribed treatment for secondary amenorrhea, there likely would have been further delays in treatment. It also includes secondary sexual elements such as pubic hair, breast development, etc. INTRODUCTION. Amenorrhea (absence of menses) can be a transient, intermittent, or permanent condition resulting from dysfunction of the hypothalamus, pituitary, ovaries, uterus, or vagina (table 1 and table 2).It is often classified as either primary (absence of menarche by age 15 years) or secondary (absence of menses for more than three months in girls or women who previously had … In females with a family history of delayed menstruation, this kind of delay is common.1, Primary amenorrhea caused by chromosomal or genetic problems may require surgery. Amenorrhea (absence of menses) can be a transient, intermittent, or permanent condition resulting from dysfunction of the hypothalamus, pituitary, ovaries, uterus, or vagina (table 1 and table 2).It is often classified as either primary (absence of menarche by age 15 years or thereafter) or secondary (absence of menses for more than three months in girls or women who … Secondary amenorrhea. Secondary Amenorrhea . Secondary amenorrhea in an adolescent is not uncommon. Treatment is determined by the etiology of the amenorrhea and the desires of the patient. Breastfeeding and menopause are also common, but natural causes. Amenorrhea. Secondary amenorrhea is defined as the cessation of menses sometime after menarche has occurred. A referral to a fertility clinicmay be appropriate. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Management depends upon the cause of the problem and the priorities of the woman. In other cases, correcting the underlying pathology should restore normal ovarian endocrine function and prevent the development … This case demonstrates the importance of pursuing a definitive diagnosis if the data do not correspond with common disease patterns. Amenorrhea may be defined as either primary or secondary: in primary amenorrhea menses does not occur by the age of 16 in the presence of normal growth and secondary sexual characteristics while in secondary amenorrhea menstruation ceases after menarche. Get the latest research information from NIH: https://www.covid19.nih.gov/ (en español) The first day of bleeding is considered the first day of your menstrual cycle. 2007 Oct;32(10):42-7. doi: 10.1097/01.NPR.0000294228.21677.68. Surgical treatment for amenorrhea is not common, but may be recommended in certain conditions. For stress-related amenorrhoea, consider measures to manage stress and improve coping … Get the latest public health information from CDC: https://www.coronavirus.gov Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. Radiation therapy may be used to shrink the tumor, either in combination with surgery or, for those who cannot have surgery, by itself. The gonads (ovaries) are often removed through laparoscopic surgery to prevent or reduce the risk of cancer.2. J Am Acad Nurse Pract. Nurse Pract. Medications to help relieve the symptoms of PCOS. If an ovary function test shows low follicle-stimulating hormone (FSH) or luteinizing hormone (LH) levels, menstruation may just be delayed. This fact sheet focuses on secondary amenorrhea that is not due to pregnancy. Because of the high mortality rate associated with eating disorders, and especially anorexia nervosa, careful monitoring is recommended in extremely low weight patients. Secondary amenorrhea Diagnostic approach and treatment considerations. In addition, your healthcare provider may recommend some treatments to help with the side effects of amenorrhea: Estrogen therapy to relieve hot flashes and vaginal dryness . Common medical treatments for secondary amenorrhea include: 3. Secondary amenorrhea: when a girl or woman has been having periods but then stops having them for at least 3 months. Secondary amenorrhea is the cessation of previously regular menses for three months or previously irregular menses for six months and warrants evaluation. Treatment goals include prevention of complications such as osteoporosis, endo- … Most of the time, pituitary tumors are removed through the nose and sinuses.  |  Secondary amenorrhea: Diagnost ic approach and treatment considerations www.tnpj.com The Nurse Practitioner • September 2017 41 health professional, primary care provider, nutritionist, and

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