Endocrine System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 28-year-old woman has presented with amenorrhea for six months. This satisfies the definition of secondary amenorrhea\u2014i.e., either cessation of regular menstruation for three months or cessation of irregular menstruation for six months.\n\nIn all women with secondary amenorrhea, pregnancy should always be excluded. After this, a systematic evaluation including a detailed history, thorough physical examination, and focused endocrine assessment is essential. Key considerations include polycystic ovarian syndrome (PCOS), hypothalamic amenorrhea, hyperprolactinemia, hypo- or hyperthyroidism, and primary ovarian insufficiency (POI).\n \nHer history is significant for occasional hot flushes and night sweats. Examination reveals mildly atrophic"}]}

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