Amenorrhea is generally defined as the absence of menstruation in a female of reproductive age. It can be classified as either primary or secondary amenorrhea. Primary amenorrhea is the failure to reach menarche (ie, the first menstrual cycle) during normal development. It is clinically diagnosed when there is no history of menstruation by the age of 15 years or 3 years after menarche. Patients meeting the criteria for primary amenorrhea warrant an evaluation. Additionally, an assessment for delayed puberty is indicated in adolescents aged 13 years and younger without initial breast development or other secondary sex characteristics (eg, pubic and axillary hair).Most of the underlying causes of primary amenorrhea can be classified into general groups: anatomic and sexual development abnormalities, ovarian insufficiency, hypothalamic or pituitary disorders, and other endocrine gland disorders. Physiology and medications may also cause primary amenorrhea; however, they are more commonly associated with secondary amenorrhea. The initial work-up usually includes a comprehensive history and physical examination, a urine pregnancy test, serum hormone testing, and pelvic imaging. Additional testing may also be indicated based on the clinical presentation. Treatment depends on the underlying etiology and may include lifestyle interventions, hormone therapy or other medications, surgery, and mental health services. Therefore, this activity for healthcare professionals is designed to enhance the learner’s competence when managing primary amenorrhea, equipping them with updated knowledge, skills, and strategies for timely diagnosis, effective interventions, and improved care coordination, leading to better patient outcomes.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/17440
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: IPCE Credits: 1.0 hours
AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Adolescent Medicine, Clinical Pathology, Endocrinology, Diabetes, and Metabolism, General Pediatrics, General Surgery, Internal Medicine, Pediatric Endocrinology, Sports Medicine