Hx
Primary vs. secondary
Duration
Possible pregnancy
Associated sx
Headache
Decreased peripheral vision
Galactorrhea
Hirsutism
Virilization
Hot flashes
Vaginal dryness
Sx of thyroid disease
PMHx
Anorexia nervosa
Excessive dieting
Vigorous exercise
Pregnancies
D&Cs
Uterine infections
Drug use
Medications
PE
Vital signs
Breast exam
Complete pelvic exam
Ddx
Pregnancy
Polycystic ovarian syndrome
Anovulatory cycle
Anorexia nervosa
Menopause
Anxiety-induced amenorrhea
Premature ovarian failure
Hyperprolactinemia
Prolactinoma
Sheehan's syndrome
Thyroid disease
Ovarian malignancy
Adrenal malignancy
Pituitary tumor
Asherman's syndrome
UTI