Amenorrhea diagnostic criteria

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview[edit | edit source]

There is no established criteria for the diagnosis of amenorrhea. However, the diagnosis of amenorrhea is based on delayed or absent menstrual cycle.

Diagnostic Criteria[edit | edit source]

• There is no established criteria for the diagnosis of amenorrhea.

• However, the diagnosis of amenorrhea is based on delayed or absent menstrual cycle.

Primary amenorrhea[edit | edit source]

• Absence of menarche until 15 years of age, in the presence of other secondary sexual characteristics.
• Absence of menarche after 5 years of thelarche, if thelarche occurred before 10 years of age.^[1]

Secondary amenorrhea[edit | edit source]

• Menstrual cycle is interrupted for at least 3 months, however were regular before.^[2]
• Menstrual cycle is interrupted for at least 6 months, however were irregular before.^[3]

Functional (hypothalamic) amenorrhea[edit | edit source]

• The patient usually reports normal regular cycles in the past, with sudden interruption in menstrual cycles for more than 3 months.
• There is almost always a history of weight loss (severe), excessive exercise, or drastic emotional stress prior to cessation of menstruation.^[4]

References[edit | edit source]

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