Diagnostic pitfalls in the evaluation and management of amenorrhea in adolescents

J Reprod Med. 2013 Jul-Aug;58(7-8):324-36.

Abstract

Amenorrhea is a common menstrual problem seen in adolescents. Amenorrhea has been shown to have a negative impact on adolescents' quality of life. In this paper we discuss the various causes and investigations of amenorrhea in adolescents and address management dilemmas for specific conditions. Specific approaches in dealing with adolescents using the HEADSS (Home, Education, Activity, Drugs, Sexual activity, Suicidal) approach are discussed.

Publication types

  • Review

MeSH terms

  • 46, XX Disorders of Sex Development
  • Abnormalities, Multiple / therapy
  • Adolescent
  • Amenorrhea / diagnosis*
  • Amenorrhea / etiology
  • Amenorrhea / therapy*
  • Androgen-Insensitivity Syndrome / complications
  • Androgen-Insensitivity Syndrome / therapy
  • Anorexia Nervosa / complications
  • Anorexia Nervosa / therapy
  • Congenital Abnormalities
  • Female
  • Humans
  • Kidney / abnormalities
  • Male
  • Menarche
  • Menstruation Disturbances / complications
  • Mullerian Ducts / abnormalities
  • Polycystic Ovary Syndrome / complications
  • Polycystic Ovary Syndrome / therapy
  • Pregnancy
  • Puberty
  • Sexual Behavior
  • Somites / abnormalities
  • Spine / abnormalities
  • Turner Syndrome / complications
  • Uterus / abnormalities
  • Vagina / abnormalities

Supplementary concepts

  • Mullerian aplasia