Evaluation of secondary amenorrhea

最后审阅: 11 Jun 2025
最后更新: 18 Feb 2025

小结

鉴别诊断

常见

  • Eating disorders or female athlete triad
  • Emotional or physical stress
  • Postcontraception with depot medroxyprogesterone
  • Hyperprolactinemia
  • Polycystic ovary syndrome (PCOS)
  • Idiopathic premature ovarian failure
  • Postchemoradiation ovarian failure
  • Chromosomal abnormality (Fragile X carrier, Turner syndrome mosaic)
  • Nonclassic congenital adrenal hyperplasia
  • Hypothyroidism
完整详情

不常见

  • Malnutrition or chronic disease state
  • Empty sella syndrome
  • Sheehan syndrome (postpartum pituitary necrosis)
  • Postencephalitis
  • Androgen-producing ovarian tumor
  • Autoimmune premature ovarian failure
  • Androgen-producing adrenal tumor
  • Cushing syndrome
  • Asherman syndrome
  • Drug-induced
完整详情

撰稿人

作者

Meir Jonathon Solnik, MD
Meir Jonathon Solnik

Associate Professor of Obstetrics and Gynaecology

University of Toronto Faculty of Medicine

Head of Gynaecology and Minimally Invasive Surgery

Sinai Health System

Site Chief of Gynaecology

Women’s College Hospital

Toronto

Canada

利益声明

MJS is a consultant for Pfizer, Abbvie, and Integra Life Sciences. He has previously been a consultant for Medtronic. He is an advisor for Felix Health.

同行评议者

Joseph S. Sanfilippo, MD, MBA

Professor

Department of Obstetrics, Gynecology, and Reproductive Sciences

Vice Chairman

Reproductive Sciences

Director

Division of Reproductive Endocrinology and Infertility

University of Pittsburgh

Pittsburgh

PA

利益声明

JSS declares that he has no competing interests.

参考文献

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关键文献

Practice Committee of the American Society for Reproductive Medicine. Current evaluation of amenorrhea: a committee opinion. Fertil Steril. 2024 Jul;122(1):52-61.全文  摘要

Goodman LR, Warren MP. The female athlete and menstrual function. Curr Opin Obstet Gynecol. 2005 Oct;17(5):466-70. 摘要

Wellons MF, Weeber KM, Rebar RW. Amenorrhea. In: Falcone T, Hurd WW, eds. Clinical reproductive medicine and surgery: a practical guide. 3rd ed. Heidelberg: Springer International Publishing; 2017:109-22.

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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