A 20 year old client reports the lack of a period for seven months. Upon questioning the client about lifestyle, the client reports running over 75 miles per week. A pregnancy test was performed and was negative. The client most likely has:

a. oligomenorrhea c. amenorrhea
b. polymenorrhea d. dysmenorrhea


C
Amenorrhea, the absence of menstruation, may be primary or secondary. Primary amenorrhea is defined as the absence of menstruation by the age of 16 . Possible causes are related to anatomical or genetic abnormalities (Turner's syndrome). Secondary amenorrhea is defined as the absence of menstruation after 6 months of regular periods or after 12 months of irregular periods. Several etiologies are possible for secondary amenorrhea, including anatomic abnormalities, nutritional deficits (anorexia nervosa), excessive exercise with significant decreases in body fat, endocrine dysfunction, emotional disturbances, side effects of medications, pregnancy, and lactation. Polymenorrhea is a term used to describe short menstrual cycles of less than 21 days in length. The causes are similar to those of the other menstrual disorders. Oligomenorrhea, is diminished menstrual flow, but it is not classified as amenorrhea . Dysmenorrhea is described as painful menstruation.

Nursing

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