You are seeing Cindy Albrecht, a 19 year old female, for amenorrhea. Please take a focused history for her complaint.
History
- Distinguishes primary vs. secondary amenorrhea (patient has had previous menstrual periods)
- Age of menarche
- Onset of last menstrual period
- Amount and changes in flow in recent menstrual periods
- Length of menstrual period
- Menorrhagia
- Dysmenorrhea
- Current use of birth control pills or other oral hormones
- Presence of vaginal discharge/itching
- Morning sickness
- Abdominal pain/discomfort
- Recent dieting
- Recent fractures
- Excessive exercise
- Galactorrhea
- Symptoms of hyperthyroidism (sweating, palpitations, heat intolerance)
- Symptoms of hypothyroidism (feels slow, cold intolerance, constipation)
- Symptoms of hypoestrogen state (hot flashes, night sweats, vaginal dryness)
- Personal history of chronic disease
- Pregnancy history
- Current and past sexual history, including partners, method of intercourse, and contraception
- Smoking and alcohol history
- Family history of genetic abnormalities and infertility
Case 3 – Amenorrhea