Amenorrhea - Differential Diagnosis Algorithm
Elevated FSH
 • Premature Ovarian Failure
 • Menopa use
 • Spontaneous
Bleed With Progestin Challenge
 • Polycystic Ovarian Syndrome
No Bleed With Progestin Challenge
 • Hypothyroidism
 • Hyperthyroidism
 • Diabetes Mellitus
 • Exogenous Androgen Use
 • Congenital Structural Abnormalities
High Prolactin
 • Hyperprolactinemia
Organic Cause
 • Congenital GnRH Deficiency
 • Infiltrative or Inflammatory Lesion
 • Tumors
 • Infarction
 • Empty Sella Syndrome
 • Apoplexy
Failed Progestin Challenge
 • Functional
 • Hypothalamic
 • Amenorrhea 
 • Weight Loss, Eating Disorders, Exercise, Stress, Prolonged Illness)

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Calgary Blackbook @CalgaryBlackBook · 4 years ago
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