Crush Step 2–The Ultimate USMLE Step 2 Review by Adam Brochert

Author:Adam Brochert [Brochert, Adam]
Language: eng
Format: epub
ISBN: 9780323078658
Publisher: Mosby
Published: 2007-10-30T22:00:00+00:00

Amenorrhea

Primary Amenorrhea

Any girl who has not menstruated by age 16 has primary amenorrhea. In the absence of secondary sexual characteristics by age 14 or absence of menstruation within 2 years of developing secondary sex characteristics, patients also should be evaluated.

Important Points

1 The first step is to rule out pregnancy! (Yes, pregnancy can manifest as primary amenorrhea.)

2 If the patient is older than 14 years and has no secondary sexual characteristics, she most likely has a congenital problem.

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