Amenorrhea is defined as delay or
absence of menstruation in a woman reproductive years. Women who have
a delay or absence of period used to think that they may be pregnant,
in fact, there are many reasons of amenorrhea.
Diagnosis and tests of secondary Amenorrhea
If you are experience delay of absence of menstruation for more
than 3 cycles or 6 months, it is for your benefit to see the doctors
right the way.
In the doctor's office, after family and medical history are
recorded, your doctor may perform a general physic exam, including the
breast and pelvic exams
1. Breast and pelvic exam
The breast and pelvic exam is a routine exam for women with
menstrual irregularity as your doctor wants to make sure that your
incidence may be caused by presence of substance other than hormonal
imbalance.
2. Urinary pregnancy test
This obvious that your doctor wants to rule out the case of pregnancy cause of absence of period.
3. Pelvic Ultrasound
Ultrasound is a medical technological machine used the sound wave
to sound waves instead of radiation to generate snapshots or moving
pictures of structures inside the body, including the pelvic region to
rule the presence of polycystic ovaries. If you has been in the
medical office for an ultrasound before, you may already know the
procedure and how the test is done. After coating your skin with a
lubricant for the purpose of reducing friction from your skin, an
ultrasound transducer is placed on your skin, as it moves back and
forth, the transducer sends sound waves into your body and picks up
the echoes of the sound waves as they bounce off internal organs and
tissue that will displace on the computer screen and picture will be
sent back to your doctor office after reviewing by the specialist.
4. Computerized tomography (CT)
A CT scan generates a large series of two-dimensional X-ray images
taken around a single axis of rotation, to create a three-dimensional
picture of the inside of the body in details.The pictures are viewed
by your doctor to see the extent of the tumors abnormalities in your
pelvic region.
5. MRI (magnetic resonance imaging)MRI (magnetic resonance
imaging) is one of many advanced technology used to visualize internal
structures cross sectional imaging of your body used effectively in
providing the better details of the pelvic region and the surrounding
areas, including uterus, ovaries are OK.
6. Blood test
a. Thyroid function test
The test is to measure the levels of thyroid stimulating hormone to make sure that amenorrhea is not caused by TSH.
b. Follicle stimulating test
The test is to measure the levels of FSH, if your levels is higher
than normal, there may be a chance that you have entered the
peri-menopause with symptoms of menstrual irregularity.
c. Male hormone test
The existence of high levels of male hormone in the women blood
test may be caused by polycystic ovaries, if you are experience hoax
voice and male pattern growth.
d. Progestin challenge test
Progestin is a synthetic progesterone with the structure similar
to the natural progesterone in the women body. The aim of the test is
to make sure that the delay and absence of period is not caused by low
levels of estrogen. you will require to take the medicine for 7-10
days to i8nduce bleeding.
e. Etc.
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