When evaluating primary amenorrhea, which of the following initial investigations is MOST crucial to consider?
Understand the Problem
The question asks which initial investigation is most crucial when evaluating primary amenorrhea. Primary amenorrhea is the absence of menstruation by age 15 or 16 (depending on the presence of secondary sexual characteristics). The question is testing knowledge of the initial steps in diagnosing this condition.
Answer
Initial investigations for primary amenorrhea include physical examination, pregnancy test, gonadotropins, prolactin, and TSH levels.
When evaluating primary amenorrhea, initial crucial investigations include a physical examination, pregnancy test, and measurement of gonadotropins, prolactin, and TSH levels.
Answer for screen readers
When evaluating primary amenorrhea, initial crucial investigations include a physical examination, pregnancy test, and measurement of gonadotropins, prolactin, and TSH levels.
More Information
Primary amenorrhea is defined as the absence of menstruation by age 15, or the absence of menstruation within 3 years of thelarche (breast development).
Tips
It is a common mistake to forget to rule out pregnancy first. Always perform a pregnancy test when evaluating amenorrhea.
Sources
- Current Evaluation of Amenorrhea - ASRM - asrm.org
- Primary Amenorrhea - StatPearls - NCBI Bookshelf - ncbi.nlm.nih.gov
- Evaluation and Management of Amenorrhea - mayoclinicproceedings.org
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