Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Other diagnostic factors

  • menstrual irregularity
  • use of hormone therapy
  • anemia
  • premenstrual molimina
  • hirsutism, acne, acanthosis nigricans

Risk factors

  • age (years after puberty and before menopause)
  • polycystic ovary syndrome (PCOS)
  • other anovulatory disorders
  • endocrine disorders
  • obesity

Diagnostic investigations

Investigations to consider

  • coagulation profile
  • serum progesterone level
  • serum prolactin level
  • serum TSH level
  • serum FSH and LH levels
  • serum androgen levels
  • serum 17-alpha-hydroxyprogesterone level
  • ultrasound
  • ultrasound examination with saline sonohysterography
  • hysterosalpingography
  • endometrial biopsy
  • hysteroscopy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Mohamed Mitwally

Medical Director

Reproductive Endocrinology & Infertility

Baptist Medical Center

San Antonio Reproductive Associates

Odessa Reproductive Medicine Center

San Antonio

TX

Disclosures

MM owns a patent on the use of aromatase inhibitors for endometrial thinning before hysteroscopic surgery. The patent is licensed to Meditrina Company.

Intisar Elnahhas

Laboratory Director

San Antonio Reproductive Associates

Odessa Reproductive Medicine Center

San Antonio

TX

Disclosures

IE declares that she has no competing interests.

Peer reviewers VIEW ALL

Associate Professor

Department of Family and Community Medicine

Southern Illinois University School of Medicine

Springfield

IL

Disclosures

JA is an author of a reference cited in this monograph.

Associate Professor (CHS)

Department of Family Medicine

University of Wisconsin

WI

Disclosures

SS declares that she has no competing interests.

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