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How is amenorrhea diagnosed?
The diagnosis of amenorrhea requires a careful medical history to document the
presence of amenorrhea as well as any other coexisting medical conditions that
may be the cause of amenorrhea. A physical examination, including a pelvic examination is also
Depending upon the results of the history and physical examination further
diagnostic tests may be ordered. Blood tests may be ordered to examine the
levels of ovarian, pituitary, and thyroid hormones. These tests
may include measurements of prolactin, follicle-stimulating hormone (FSA),
estrogen, thyrotropin, dehydroepiandrosterone sulfate
(DHEA-S), and testosterone. For some individuals, a pregnancy test is the first
Imaging studies, such as ultrasound, X-ray, and CT or MRI scanning may also be
recommended in certain individuals to help establish the cause of amenorrhea.