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Amenorrhea Testing And Diagnosis


There is a combination of hormonal issues associated with amenorrhea though they are rarely life threatening. There may need to be several tests conducted by your doctor to accurately determine the underlying cause. Such tests would include:

  • A pregnancy test will probably be the first test your doctor does to check for possible pregnancy.
  • Pelvic exams are performed to check for any abnormalities with reproductive organs.
  • The physical exam includes checking for indications of changes that should be occurring at puberty. Medication history will also be discussed.
  • Blood tests such as a thyroid function test or a test to evaluate prolactin levels can reveal any inconsistency in hormone levels, which could be the cause for amenorrhea. If a woman has experienced more than usual hair growth, a test for hormone levels may also be administered.
  • Progestin challenge tests can also be administered. This test involves taking a progestogen or some hormonal medication for 7 to 10 days. This medication will trigger menstrual bleeding and as a result, your doctor can determine whether your menstrual periods have halted due low estrogen levels.
  • An imaging test may be administered by your doctor after reviewing your symptoms and blood test results. Imaging tests such as a CT scan (computerized tomography), an MRI (magnetic resonance imaging) or an ultrasound can show if there are pituitary tumors or any abnormalities in reproductive organs.
  • Laparoscopy or hysteroscopy is generally considered a last option if other testing (as those mentioned above) reveal nothing or are inconclusive. Minimally invasive surgery may be recommended by your doctor to view internal organs. Occasionally, problems found during surgery can be treated simultaneously.

Treatments And Drugs

The cause of amenorrhea will determine its treatment. You may need to make some changes to your lifestyle as per your doctor’s recommendations. Such changes may include adjustments to your body weight, exercise routine or physical activity in general as well as stress level management. Those who have hypothalamic amenorrhea or PCOS may need oral contraceptives for treatment prescribed by a physician. Medication is usually used to treat amenorrhea when the underlying cause is thyroid or pituitary disorder.

A Healthy Lifestyle

Maintaining a healthy lifestyle will help a normal menstruation cycle. You may want to consider implementing some other things below but you should always consult your physician.

Healthy Lifestyle

  • Consider changes in your diet and exercise activity in order to achieve a healthy body weight.
  • Balance work, recreation and rest.
  • Reduce stress-causing situations. Consult a physician family or friends if you need help to decrease stress levels.

In order to be aware of changes in your menstrual cycle you should keep a record of when they occur. Include the calendar date, the duration and symptoms experienced that are a cause for concern.

Consult female family relatives (mother, sister etc…) to see if anyone in your family has had a case of amenorrhea. This type of information can assist your doctor in determining the underlying cause for the condition. You may feel some anxiety due to the condition, but your doctor can provide you with management and treatment to help you find ways to restore and regulate your menstrual cycle.

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