If amenorrhea is reported by the female patient, the clinician should attribute this to ____ until proven otherwise
A. Pregnancy
B. Ovarian failure
C. Lack of progesterone
D. Menopause
ANS: A
Last menstrual period is one of the most important questions to ask, particularly when prescribing medications, because many are contraindicated in pregnancy. If menstrual cycles are not regular, pregnancy should be ruled out first, and then other diagnoses can be considered. The menstrual history includes any episodes of amenorrhea, menorrhagia (excessive bleeding at the time of the menstrual cycle), metrorrhagia (bleeding at irregular noncyclic intervals), dysmenorrhea, and postmenopausal bleeding. Amenorrhea has many causes, including pregnancy; anorexia nervosa; excessive exercise; low body fat; and disorders or tumors of the hypothalamus, pituitary gland, ovary, uterus, and thyroid gland.
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