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

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.