secondary amenorrhea…

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secondary amenorrhea, normal uterine anatomy, cut section, amenorrhea, secondary, secondary amenorrhea, menstruation begins, appropriate age, later stops, reasons not due to pregnancy, lactation, menopause, menstruation, absent, primary amenorrhea, 4% of women have secondary amenorrhea, many reasons for missing a period, at an increased risk of secondary amenorrhea, engage in extreme, prolonged exercise, adequate conditioning, have less than 15, 17%, are obese, or take hormonal supplements, anxiety and emotional distress, cause a missed period, following drugs, cause missed periods, busulfan, chlorambucil, cyclophosphamide, phenothiazines , oral contraceptives, non-oral contraceptives depo-provera, procedures dilation, curettage, d, c, cause a woman to develop amenorrhea, scar tissue develops, the uterine cavity, previously had one, menstrual periods, no menstrual period, 6 months, longer, symptoms associated, secondary amenorrhea depend on the cause, headache, galactorrhea , considerable weight gain, weight loss, dry vagina, increased hair growth, "male" pattern, hirsutism, voice changes, breast size changes, amenorrhea, a pituitary tumor, symptoms related, tumor visual loss, a pelvic examination, physical, pelvic examinations must rule out pregnancy, other diagnostic testing begins, patient referred, psychological counseling, anxiety is causing the condition, diagnostic tests, endometrial biopsy, progestin withdrawal, prolactin level, serum hormone levels testosterone levels, thyroid function studies, pregnancy test, serum hcg, follicle stimulating hormone, fsh level, luteinizing hormone, lh level, thyroid stimulating hormone, tsh, karyotype to rule out, y chromosome abnormality, ct scan, the head done, a pituitary tumor is suspected, treatment depends on the cause, the amenorrhea, normal menstrual function, returns, primary disorder is treated, primary disorder is hypothyroidism, amenorrhea, cured, it is treated, thyroid supplements, primary cause is obesity, vigorous athletics, weight loss, similar factors, treatment recommendations, a change in one's exercise routine, weight control, outcome depends on the cause, the conditions that cause secondary amenorrhea, respond to treatment, amenorrhea, does not cause complications, conditions that cause amenorrhea, have complications, primary health care provider, ob/gyn provider, a woman, have missed more than one period so that the cause, appropriate treatment, determined, prevention depends on the cause, moderate exercise instead of extreme exercise, weight control, measures helpful, stenchever ma, droegemueller w, herbst ar, comprehensive gynecology, 4th ed, mosby, 1109-1119.