The Essential Tests for Diagnosing Secondary Amenorrhea
Published: Feb 22, 2024
Diagnosing secondary amenorrhea requires specific tests to pinpoint the underlying causes. These tests are the first step in effective treatment.
Initial Evaluations
A pregnancy test is the first evaluation for any woman with amenorrhea, as pregnancy is the most common cause. Following this, blood tests to measure hormone levels like estradiol, FSH, and LH can provide insights into hormonal imbalances. These tests help narrow down potential causes and guide further diagnostic steps.
Advanced Diagnostic Tests
Imaging tests like MRI or CT scans may be employed to check for tumors or structural abnormalities in the hypothalamus or pituitary gland. Ultrasounds can assess ovarian conditions like PCOS or uterine issues like Asherman syndrome. These tests provide a comprehensive view of the reproductive system's health.

Frequently Asked Questions
A pregnancy test is the initial evaluation.
Hormone tests identify imbalances causing amenorrhea.
Yes, they detect structural issues causing amenorrhea.
The Bottom Line
Comprehensive testing is essential for diagnosing and treating secondary amenorrhea.
References
- Perkins RB, Hall JE, Martin KA. Neuroendocrine abnormalities in hypothalamic amenorrhea: spectrum, stability, and response to neurotransmitter modulation. J Clin Endocrinol Metab 1999; 84:1905.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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