Summary
Definition
History and exam
Other diagnostic factors
- use of hormone therapy
- menstrual irregularity
- anaemia
- 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
Treatment algorithm
Contributors
Authors VIEW ALL
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.
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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