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Secondary amenorrhea: Diagnostic approach and treatment considerations
Katherine Pereira1, Ann J Brown
1Katherine Pereira is an associate professor at Duke University School of Nursing, Durham, N.C., and a family NP at Duke University Medical Center, Division of Endocrinology, Metabolism and Nutrition, Durham, N.C. Ann J. Brown is an associate professor of medicine and vice dean for faculty at Duke University School of Medicine, Durham, N.C.
Abstract:
Disruptions in the menstrual cycle are a common complaint in primary care and women's health. Irregular or absent menstrual periods should trigger an evaluation to identify the root cause. This article discusses secondary amenorrhea and provides a systematic approach to its diagnostic evaluation, with referral considerations.
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