Diagnostic pitfalls in the evaluation and management of amenorrhea in adolescents.
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.
Department of Obstetrics and Gynecology, Level 2, Clinical Block, Pusat Perubatan UKM, Jalan Yaakob Latif, 56100 Kuala Lumpur, Wilayah Persekutuan, Malaysia. nurazurahag@gmail.com
Abdul Ghani Nur
AG
Azurah
Ani Amelia
AA
Zainuddin
Yasmin
Y
Jayasinghe
D058489:46, XX Disorders of Sex Development; D000015:Abnormalities, Multiple / Q000628:therapy; D000293:Adolescent; D000568:Amenorrhea / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D013734:Androgen-Insensitivity Syndrome / Q000150:complications / Q000628:therapy; D000856:Anorexia Nervosa / Q000150:complications / Q000628:therapy; D000013:Congenital Abnormalities; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D008297:Male; D008572:Menarche; D008599:Menstruation Disturbances / Q000150:complications; D009095:Mullerian Ducts / Q000002:abnormalities; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000628:therapy; D011247:Pregnancy; D011627:Puberty; D012725:Sexual Behavior; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D014424:Turner Syndrome / Q000150:complications; D014599:Uterus / Q000002:abnormalities; D014621:Vagina / Q000002:abnormalities